Abstract

Healthcare systems worldwide have been facing a value crisis, with expenditure increasing at unsustainable rates and, in many cases, exceeding the real growth of GDP(Papanicolas et al., 2018). Furthermore, this substantial increase in spending has not correlated with a significant improvement in health outcomes within many populations(Papanicolas et al., 2018) and conventional outcomes have neglected patient needs. The ongoing COVID-19 pandemic has also exposed many shortcomings of the prevailing fee-for-service model of care delivery, including fragmentation in services, suboptimally-managed chronic diseases that have resulted in broader health impacts, and pervasive health disparities (Lal et al., 2021; Sorenson et al., 2020). This has highlighted the urgent need for a paradigm shift in the way care is delivered and reimbursed (Nimako & Kruk, 2021).

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