Value-based Models Research Articles

The Effects of Adverse Events and Associated Costs on Value-Based Care for Metastatic Pancreatic Ductal Adenocarcinoma

Background: Rising oncology healthcare costs have led to value-based care reimbursement models that coordinate care and improve quality while reducing overall spending. These models are increasingly important for traditional Medicare and other payers. Objectives: To compare the incidence of adverse events (AEs), AE-associated excess costs, and total cost of care (TCOC) of 3 cohorts receiving first-line treatment for metastatic pancreatic ductal adenocarcinoma (mPDAC). Methods: We conducted a retrospective analysis of administrative claims data from 2018 to 2022 using the Medicare 100% Research Identifiable Files. We examined 3 cohorts receiving mPDAC treatment: FOLFIRINOX (FFX) (oxaliplatin, irinotecan, leucovorin, 5-FU bolus and infusion); modified FFX, (5-FU infusion only); and gemcitabine/nab-paclitaxel (gem/abrax). We compared the incidence of clinically significant AEs, TCOC, components of TCOC, and costs related to AEs/treatment toxicity. Results: Patient AE rates ranged from 6.2% to 51.7%. AEs occurred more frequently in patients receiving FFX with all 4 components. Patients receiving brand name gem/abrax had lower rates of febrile neutropenia (6.2%) and neutropenia (22.2%) than those receiving FFX with no 5-FU bolus (febrile neutropenia, 9.9%; neutropenia, 36.9%) and FFX with all 4 components (febrile neutropenia, 6.9%; neutropenia, 30.4%). Rates of most nonhematologic AEs were higher in patients receiving FFX with all 4 components, with diarrhea occurring in 28.3%, abdominal pain in 31.5%, and nausea/vomiting in 41.5% of patients. TCOC was lower in the gem/abrax cohort: $6505 vs FFX with no 5-FU bolus ($6995) and FFX with all 4 components ($7142) per administration. The development of any studied hematologic AE was associated with a mean excess cost of $5993 per administration, while the development of any studied nonhematological AE was associated with a mean per-administration excess cost of $3665. Discussion: Treatment decisions intended to minimize chemotherapy costs may lead to suboptimal decisions if the goal is to reduce TCOC. Our research suggests FFX is more costly than gem/abrax (TCOC per administration). Patients receiving gem/abrax were older and had higher baseline Charlson Comorbidity Index scores; however, other factors may be important in driving cost differences. Conclusions: Irrespective of drug cost, chemotherapy leading to a significant increase in AEs is associated with higher TCOC.

Effects of Perceived Benefits, Value, and Relationships of Brands in an Online-to-Offline Context: Moderating Effect of ESG Activities

The objective of this study was to investigate how perceived benefits and risks affect perceived value, as well as to examine the relationship between perceived value, consumer–brand relationships, and loyalty. The study examines the moderating effects of environmental, social, and governance (ESG) performance on the abovementioned relationships by applying a value-based adoption model. An online survey was conducted with consumers who used a food-delivery-service platform, totaling 754 participants. The SPSS 27 statistical package and SmartPLS 4.0 were used to test the research hypotheses, as well as to verify the moderating effects. The results indicate that product quality and specialization have positive effects on perceived value; however, delivery convenience does not. The analysis also found that perceived risk factors associated with delivery-service platforms, specifically, delivery risk, delivery security, and product heterogeneity, have positive effects on perceived value. These results imply that perceived value is linked to consumer perceptions of perceived benefits or risks and is closely related to the formation of customer–brand relationships with delivery platform companies. In addition, it was found that consumer–brand relationships formed in this way act as a decisive factor in the formation of corporate brand loyalty. ESG activity was found to play an important role in moderating the relationship between product quality and specialization, which are factors regarding perceived benefits and value. The ESG performance of delivery-service platforms plays a moderating role in the relationship between perceived value, consumer–brand relationships, and brand loyalty. The results of this study contribute to the development of strategic guidelines for marketers seeking to establish delivery-service platforms.

Not All Costs Are Created Equal: What Are the Types of Costs and Why Do They Matter?

Value-based care models are healthcare economic frameworks that aim to prioritize and financially incentivize quality of care, provider performance, and patient experience. The focus on value-based care metrics will undoubtedly lead to a greater weight placed on economic analyses in arthroplasty. Authors of cost analyses in arthroplasty often use the term “cost” in ways that have vastly different underlying meanings. It is imperative that surgeons understand the different characteristics of cost data, where they come from, and how to interpret them. There are three types of costs: 1) costs to the healthcare providers; 2) costs to the payer; and 3) costs to society. In this review, we evaluate where each type of cost data comes from, what are the appropriate conclusions to be drawn from them, and examples of how they are used in the literature.

A deep dive into the factors affecting household solar photovoltaic adoption: An extended perspective of the value-based adoption model

Solar photovoltaic (PV) products have emerged as a promising solution to address environmental and green energy issues in light of increasing concerns about carbon emissions, environmental awareness, and renewable energy. This research uses the value-based adoption model (VAM) to examine how perceived benefits and sacrifices impact the adoption intention of PV technology. It additionally explores the role of familiarity with the service as a moderator and its impact on perceived harm risk, perceived value, and adoption intention. The results reveal that economic and environmental benefits significantly influence perceived value, while perceived financial and harm risks also play substantial roles in shaping perceived value. Moreover, the study shows a positive relationship between perceived value and the intention to adopt solar PV and also suggests that familiarity with solar services moderates the relationship between perceived harm risk and perceived value. These insights are valuable for policymakers and energy companies seeking to understand consumers’ perspectives better and increase their intentions to adopt PV technology.

Online Lifestyle Medicine Continuing Medical Education (CME) Course Completion Predicts Increases in Clinician Knowledge, Confidence, and Practice of Lifestyle Medicine.

Introduction: Despite growing evidence linking lifestyle changes to disease reversal, lifestyle medicine (LM) is not widely practiced. Lack of clinician training and knowledge is cited as a barrier to LM adoption. This study measures changes in LM knowledge, attitudes, confidence, and practice behaviors following completion of a 5.5-h, asynchronous, online continuing medical education (CME) course. Methods: Participants completed a pre- and post-course survey. A repeated-measures linear model tested changes in knowledge, confidence, interest, experience, and practice of LM, after adjusting for age, gender, race, ethnicity, clinical degree/licensure, and presence of a health system value-based care model. Results: Surveys from n = 2954 course participants were analyzed. Overall, statistically significant improvements were observed in self-reported knowledge (+.47 of points) and confidence (+.53 of points) of LM. Participants across the sample reported greater frequency (+.08 of 5 points) and reach (+.10 of 5 points) of LM with their patients (p<.0001 for both). Discussion: This study demonstrated that a brief, scalable, online CME course can improve LM knowledge, confidence, attitudes, and practice. Future research should examine long-term practice changes as well as differences in outcomes across types of healthcare professionals.

Relative-Value Units in Arthroplasty: Past, Present, and Future

Relative value units (RVUs) were first introduced by the Omnibus Budget Reconciliation Act of 1989 to standardize physician compensation based on the effort, skill, and resources required for medical services. This methodology replaced the "usual, customary, and reasonable" standard, which reduced variability in payments across providers. RVUs are comprised of physician work, practice expenses, and malpractice costs. In arthroplasty, declining inflation-adjusted reimbursements for total hip and knee replacements are primarily due to a lack of inflation adjustments, rather than nominal decreases values of RVUs values or the Medicare Conversion Factor. While value-based care models like the Comprehensive Care for Joint Replacement initiative and the Merit-Based Incentive Payment System aim to link RVU-based payments with quality and cost metrics, compensation remains largely tied to fee-for-service models. Major challenges include inadequate compensation for revision arthroplasty and the administrative burden of RVU management. Despite its limitations, the RVU system has enhanced transparency in physician reimbursement, though improvements are needed to better align financial incentives with value-based care principles in orthopaedics.

Value-based optimization model for cultural route design: Ancient Water Supply Heritage of Istanbul (Türkiye)

Cultural tourism has become an increasingly growing human activity in today's world. Therefore, various cultural/natural heritage areas or buildings face large tourist crowds, causing physical, social, or cultural deterioration. Cultural routes, which provide a systematic approach and planned tourists move, can reduce the negative effects of overtourism. This study aims to develop an optimization model as a supportive tool for the cultural route design process. The proposed optimization model aims to maximize cultural experience while satisfying constraints on heritage values, building types, historical eras, and general routing rules. Moreover, this model, creating optimized cultural routes, is expected to contribute to regulating economic income and tourist density. As a case study, the ancient water supply systems of Istanbul, inherited from the Roman and the Ottoman empires and currently overlooked, are investigated. Heritage values, mentioned in the extensive literature, are reviewed and the values/attributes for this study are appointed according to the characteristics of the case heritage assets, and their environment. The values of the case structures are evaluated with value analysis after field study. An optimum cultural route for Istanbul's historical water supply heritage, according to the objective and the constraints of the model, is obtained by solving the model with the case data. The resulting route can make this overlooked heritage of Istanbul recognized and spread the tourist density in the city center. The model is flexible, allowing for easy modification of the objective function, constraints, and values when designing routes across various heritage sites. This model can be used not only in the design of new cultural routes but also in optimizing existing routes.

Employees' Behavioral Intention to Adopt Facial Recognition Payment to Service Customers

Facial recognition payment (FRP) is a crucial technology for digital transformation among merchants. However, few studies have explored employees' adoption of FRP. This study combined the status quo bias theory and the value-based adoption model to investigate the critical factors affecting employees' behavioral intention of FRP, including switching benefits, job insecurity, colleague opinion, top management support, and inertia. The results show that switching benefits, job insecurity, colleague opinion, top management support, and inertia are essential factors that determine employees' behavioral intention of FRP. Surprisingly, the perceived customer value negatively moderates the relationship between perceived value and behavioral intention. Furthermore, the authors provide rigorous endogeneity tests for the research model. Overall, this study contributes to the status quo bias and value-based adoption model theories and literature in organizations' digital transformation and offers valuable insights to eliminate resistance and encourage the active use of FRP.

Reevaluating Value-Based Care in Telemedicine: Clinical Opportunities in the Postpandemic Era.

Telehealth during the COVID-19 pandemic became one of the main means for patients to access the health care system. Rules, regulations, and reimbursement policies were loosened, allowing for its expansion into the clinical arena. Since the end of the pandemic, virtual care models have expanded. With a larger emphasis on value-based care, there is a need to understand how telehealth can be utilized to increase value, improve access, enhance the patient experience, improve outcomes, and decrease health inequalities. The article explores the use of telehealth as it relates to a value-based care model, which includes the patient experience, quality of care (access and health equity), provider/clinical practice, and health system/financial. Recommendations for strengthening the use of telehealth to ensure value-based care are provided.

Value-based care as a solution to resolve the open debate on public healthcare outsourcing in Europe: What do the available data say?

Controversy surrounds the current debate regarding the effects of outsourcing health services, as recent studies claim that increased outsourcing leads to reduced costs at the expense of worse patient outcomes. The goal of the value-based model is to enable healthcare systems to create more value for patients, and evidence points to improvements in public health outcomes, patient experience, and health expenditure in systems incorporating components of value-based healthcare. Some emerging evidence indicates promising results for outsourced hospitals which follow a value-based model of healthcare delivery. Although additional future studies are still needed to confirm these benefits, value-based healthcare merits discussion as a new perspective on the public versus private management debate. In fact, we argue that outsourcing to value-based health providers could represent a valid alternative for public health management, encouraging greater competition within the healthcare sector while ensuring quality of care for both public and private sectors.

Psychological value theory: predicting health-seeking behavior from symptom perception.

We recruit Psychological Value Theory (PVT) to understand how symptom value influences health-seeking decisions. Estimates of the Psychological Value of relief from a particular symptom were previously collected and used to predict the speed of participants' decision and the choice they make in three discrete choice experiments. Experiment 1 presented participants with a scenario and asked them to identify which of two symptoms they would seek healthcare services to treat. For each participant on every trial, two randomly chosen symptoms were inserted into the scenario. Experiment 2 addressed how the Psychological Value of a group of symptoms is predicted from the individual symptoms. Experiment 2 replicated Experiment 1 using groups of two symptoms, and predicted choice based on three grouping functions. Experiment 3 replicated Experiment 2 using a yes/no task, whereby participants were asked if they would pursue a health care visit for a single set of symptoms. The results showed that PVT accurately predicted speed and choice in all three experiments. The Psychological Value of relief from a symptom was the primary driver of choice along with a response bias in favor of avoiding symptoms labeled "severe."Health-seeking decisions are well modeled by a general-purpose, value-based computational model (PVT), with the Psychological Value of relief from health symptoms as a primary driver of health-seeking behavior.

The future of personal electric mobility in emerging economies: A survey of e-moto users in Vietnam

Decarbonizing private transport is crucial in the highly polluted cities of low- and middle-income countries, such as Vietnam. In motorcycle-dominated megacities, this means gradually converting the conventional motorcycle fleet into e-motos. In this study set in Hanoi, we examined the factors that explain existing e-moto riders' attachment to this mode. For this purpose, we built a novel theoretical framework called VEMM (Values and Expectations in Mobility Model), which combines the constructs of the Expectation Confirmation Model (ECM) and the Value-Based Adoption Model (VBAM). Survey data collected from 481 e-moto users in Hanoi were analysed by applying a Partial Least Squares Structural Equation Model (PLS-SEM). We found that the enduring intention to use e-motos is positively related to perceived value, user satisfaction, and perceived usefulness. We controlled for riders' gender, age, education, and living area but only education was statistically significant. Overall, we found that the perceived value of e-motos owed more to the perceived benefits (usefulness, enjoyment, and eco-friendliness) than the perceived costs (risk, price, technicality, habit, and stigma) of this mode. Based on these findings, we recommend that manufacturers consider the critical role of values when designing and promoting e-motos.

Effects of virtual try-on technology as an innovative e-commerce tool on consumers' online purchase intentions

PurposeThe purpose of this study is to investigate the role of using augmented reality (AR) in the form of virtual try-on technology in consumers' purchase decision-making process.Design/methodology/approachThe study, executed in a beauty industry context, uses the value-based adoption model (VAM). Data were collected by means of a survey carried out on 238 Tunisian women. Subjects performed an experimental task using the virtual try-on (VTO) application in the L’Oréal website. Web-administered questionnaires were used to collect the data, which was processed using an exploratory factor analysis and partial least squares structural equation modeling.FindingsThe findings shows that perceived value is positively related to purchase intentions and it was affected by both perceived benefits and perceived costs. In particular, perceived benefit (perceived usefulness) was found to have a strong positive effect on perceived value. Moreover, it turns out that perceived enjoyment does not have a significant effect on the perceived value. In terms of perceived costs, perceived intrusiveness was found to limit perceived value. The results also show a significant relationship between AR characteristics and perceived benefits. For personal traits, personal innovativeness is found positively influencing perceived usefulness, but it shows no significant effect on perceived enjoyment.Practical implicationsCompanies should highlight the benefits for consumers (interactivity, informativeness and usefulness) and attempt to reduce the costs (intrusiveness) related to the use of VTO AR technology, which can play a substantial role in determining the perceived value and purchase intentions.Originality/valueThe existent literature, which examines the AR in e-tailing, shows weak acknowledgment of theories related to consumer barriers to AR adoption in e-tailing, they overlook the role of consumer psychology and individual differences in AR acceptance. Thus, this study contributes to the literature by enhancing the understanding of the roles that AR based VTO technology plays in determining consumers’ online purchase intentions by extending the application of perceived value theory and taking into account its characteristics and personal traits that play a role in weakening or strengthening the customer's benefits and cost perceptions.

Seasonal surges and tumbles: Analyzing part D expenditure fluctuations in the Oncology Care Model.

39 Background: Medicare Part D (PD) provides prescription drug coverage through government-contracted private plans. It includes deductible, initial coverage, coverage gap, and catastrophic coverage (CC) phases. During the study period, Medicare reinsured 80% of drug costs above the out-of-pocket threshold (OOPT) in the CC, while also subsidizing costs for low-income beneficiaries with the Low-Income Cost Subsidy (LICS) in other phases. The Oncology Care Model (OCM), Medicare's value-based care model, considers reinsurance payments and LICS for PD drugs when benchmarking and evaluating performance. Methods: Using PD prescription data for 15 practices in The US Oncology Network, we obtained the gross drug costs below (GDCB) and above (GDCA) the OOPT, and LICS for prescriptions over a 6-year period (July 2016 – June 2022). We then evaluated the trends and patterns of per episode Part D expenditures (PEPDE) and LICS. Results: The analysis of 5.12M prescriptions for 99,623 patients revealed that episodes initiating in February and March had the highest PEPDE. However, per episode benchmark prices (PEBP) remained steady throughout. The seasonal variation in PEPDE was due to the PD plan design, with episodes crossing plan years (in January) having the lowest PEPDE. Consequently, performance periods (PP) starting with the calendar year had 15% higher PEPDE. Only 18% of patients received the LICS benefit, with 25% of payments occurring in January, coinciding with the entry of patients into CC. Conclusions: The design of PD plans creates seasonal patterns in PEPDE within models like OCM. Episodes with similar treatment patterns and beneficiary profiles can have different costs based on the start date, but a similar PEBP, leading to inconsistent performance outcomes. To ensure fair evaluation, a risk adjustment method that considers seasonality in the prediction model or balances fluctuations in expenses is needed. The impact of PD changes with the Inflation Reduction Act remains unexplored. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Measure Month of Episode Initiation PEBP $47.8K $46.7K $47.8K $46.7K $46.3K $46.5K $47.4K $46.4K $47.2K $46.3K $46.7K $46.2K PEPDE $28.2K $31.2K $31.0K $29.2K $28.4K $27.7K $26.3K $26.2K $25.7K $25.1K $23.9K $24.0K Prescription Status % of Dispenses by Month of Dispense GDCB 90.7% 83.2% 80.5% 78.2% 76.2% 74.7% 72.7% 71.1% 69.7% 68.3% 66.8% 65.2% GDCA 9.3% 16.8% 19.4% 21.8% 23.8% 25.3% 27.3% 28.9% 30.3% 31.7% 33.2% 34.8% % of patients entering CC 12.5% 8.9% 8.0% 7.9% 8.0% 7.8% 8.7% 8.8% 8.7% 9.0% 8.8% 8.8% PP 1 2 3 4 5 6 7 8 9 10 11 PEPDE by PP $18.7K $21.8K $21.9K $25.9K $23.5K $28.9K $26.6K $34.2K $30.3K $37.2K $32.9K

Increasing Use of SGLT2 Inhibitors in Patients with CKD and Heart Failure through Physician Education and Outreach Reduces Inpatient Admissions in a Value-Based Care Model

Increasing Use of SGLT2 Inhibitors in Patients with CKD and Heart Failure through Physician Education and Outreach Reduces Inpatient Admissions in a Value-Based Care Model

Cracking the code: Exploring the inverse relationship between HCCs and hospitalizations in value-based care models.

40 Background: Payers increasingly use the Hierarchical Condition Categories (HCC) as a measure of patient severity, guiding assessment of outcomes, predicting costs, titrating reimbursement, and risk adjusting value-based care (VBC) arrangements. HCCs are assigned to patients based on diagnoses reported and coded in inpatient and outpatient hospitals, and physician practices. Conventional belief has been that higher HCCs correlate with increased hospitalizations and higher spending for patient care. However, the impact of hospitalizations on HCC coding practices remains largely unexplored. Methods: Using deidentified public use Enhancing Oncology Model (EOM) baseline episode files (between 2016 - 2020), we grouped episodes based on inpatient admissions (INP vs NoINP) and analyzed the two-way relationship with coded HCCs. Results: Of the 1,533,420 episodes, 89% had one or more HCC documented. Key distributions are provided in Table1. Mean HCCs were higher (T- test, p&lt;0.0001) for INP episodes, with more (4 or more) HCCs documented per episode. Inversely, episodes with 0 and 1 to 3 HCCs had the same hospitalization rates. Conclusions: Our research aligns with anecdotal knowledge suggesting that hospitals demonstrate greater agility and proficiency in HCC coding, resulting in an increased measurement of patient severity. Coding practices in hospital settings usually involve comprehensive chart reviews, data curation in specialized registries, optimized coding workflows, coding staff specializing in risk-adjustment coding, etc. Similar practices are generally lacking in physician practices. Patients with more HCCs experience more hospitalizations, but the relationship is not linear and unidirectional. Although elevated HCCs for INP episodes support the expenditures linked to hospitalization, VBC efforts to reduce avoidable hospitalizations may result in an underrepresentation of patients’ HCCs when care is predominantly delivered in outpatient and physician office settings. The effectiveness of HCC coding in physician practices is apt for further exploration. The accuracy of risk-adjustment relies on the efficiency of HCC coding. We register our skepticism regarding the ability of HCCs to accurately represent the true severity of patients who are not hospitalized. Measure INP(n=461,316) NoINP(n=1,072,104) All(n=1,533,420) Mean Total Spend $69,939 $52,727 $57,905 Mean Hospital Spend $22,344 - $6,722 Mean HCCs 2.80 2.30 2.45 % of Episodes with HCCs 0 16% 19% 18% 1 to 3 50% 58% 55% 4 or more 34% 23% 26% 0(n=277,452) 1 to 3(n=853,942) 4 or more(n=402,026) % of Episodes with Hospitalizations 27% 27% 39%

Hospice Administrators' and Providers' Perspectives on Providing Upstream Palliative Care: Facilitators, Barriers, and Policy Prescriptions.

Background: Among patients with serious illness, palliative care before hospice enrollment is associated with improved quality of life, reduced symptom burden, and earlier transitions to hospice. However, fewer than half of eligible patients receive specialty palliative care referrals. As most hospice clinicians and administrators have experience in specialty palliative care, several emerging programs propose engaging hospice clinicians to provide early palliative care. Objective: We sought to identify barriers and facilitators to upstream palliative care. Design: We conducted a key informant qualitative study among hospice administrators and clinicians. Setting/Subjects: We conducted semi-structured interviews with 23 hospice administrators and clinicians in eight states from March to August 2022. We identified participants using snowball and purposive sampling using states that participate in Medicare Advantage's value-based insurance design Model. Results: Respondents indicated that barriers to early palliative care included inadequate staffing and reimbursement. Hospice clinicians providing community-based palliative care can address access barriers and improve transitions to hospice. Respondents expressed desire for payer guidance in identifying eligible patients but were cautious about payers acting as direct palliative care providers. However, payers could facilitate uptake by broadening and specifying coverage of services to include goals of care conversations and symptom management. Routine referrals initiated by objective measures could potentially increase access. Conclusions: Utilizing hospice providers to provide upstream palliative care can increase access, improve outcomes, and ease the transition to hospice.

Intention to Use FinTech Payments: The Perspectives of Benefits, Risks, and Openness to Change

Objective - The COVID-19 pandemic has significantly transformed many aspects of daily life, including the way payments are made. While the usage of cashless payments has increased, cash remains the main mode of payment in Malaysia. Therefore, this study aims to explore the factors driving the intention to use FinTech payments based on the Unified Theory of Acceptance and Use of Technology (UTAUT) with the Value-based Adoption Model (VAM). Methodology/Technique – 546 usable responses were collected using a stratified sampling technique across 13 states in Malaysia. Then, structural equation modeling using the partial least squares approach was applied to test the hypotheses. Finding – The findings show that performance expectancy, effort expectancy, social benefit, privacy risk, and openness to change are the significant determinants of intention to use FinTech payments. Openness to change was found to be the most significant predictor of intention to use FinTech payments. However, the study failed to confirm the impact of social influence, economic benefit, security risk, and regulatory support on the intention to use FinTech payments. This study does not fully validate the significance of UTAUT and VAM constructs. Novelty – To the best of our knowledge, this is the first study that uses the UTAUT and VAM on intention to use FinTech payments together with openness to change and regulatory support. This is a framework that covers the decision-making determinants from the perspectives of benefits, risks, individual characteristics, and the external environment. Type of Paper: Empirical JEL Classification: G23, G28, G29 Keywords: FinTech Payment, Intention to Use, UTAUT, VAM, Benefits, Risks Reference to this paper should be referred to as follows: Chen, N.H; Habibullah, M.S; Sapar, R. (2024). Intention to Use FinTech Payments: The Perspectives of Benefits, Risks, and Openness to Change, GATR-Global J. Bus. Soc. Sci. Review, 12(3), 91–113. https://doi.org/10.35609/gjbssr.2024.12.3(1)

The process of transition to a value-based distribution model in the Turkish land readjustment system

The Turkish Land Readjustment (LR) System is a area-based system. The system is based on the principle of equal land contribution in return for the increase in value that will occur with the LR implementation. However, the applied area-based method is criticized because it does not ensure equality, does not include the construction of technical infrastructure and social facilities, is not participatory, and does not bring the increase in value to the public. For this reason, a study has been initiated by the Ministry of Environment, Urbanization and Climate Change to diversify plan implementation tools. The article presents the results of the study regarding the value-based LR model. According to the findings of the research, as an alternative to the current area-based LR System in Turkey, the application of the value-based method will add a new dimension to the Turkish LR System. The fact that the country has a developed cadastral system ensures that area-based LR is carried out healthfully. However, the inadequacy of the valuation infrastructure makes the transition to value-based LR difficult. In Turkey, suddenly switching to value-based practices without a well-established valuation infrastructure may completely stop the existing parcel production capacity. For this reason, alternative models should be gradually incorporated into the system by eliminating the shortcomings of the current method. In the article, short, medium and long-term suggestions are presented for the management of the transition process, in line with the findings obtained from the research in the Turkish LR System.

Social assessment of the population for the transition to Value- based healthcare model

Background: The advanced experience of implementing a value-based model in the practice of Moscow healthcare allowed us to identify a number of the most significant practices of its effectiveness, among which support for making an informed decision by the patient, as well as measuring satisfaction and analyzing the needs of patients were noted. In this regard, the transition of the entire national healthcare system to a value-based model requires the development of approaches to assessing the population’s compliance with such a transformation, taking into account socio-economic, demographic and psychological criteria. Aim: To consider possible predictors of the readiness of a social group of the population older than working age to transition to a value-based model of national health care. Materials and methods: A review of fundamental and modern works in the problem field was carried out. The empirical basis of the work was made up of data from the official website of the Federal Statistics Service with geographic coverage of the entire Russian Federation. Results: Analysis of data from a subjective assessment of the population's health on a national sample of the Russian Federation demonstrates the internal readiness of the population for a value-based healthcare model, despite the negative trends of aging. In the age groups 55-59, 60-64, 65-69, 70-74, 75-79, 80 and older, there is a general trend in assessing their health - the majority of respondents rated it as “satisfactory,” while the number of ratings was “very bad” is minimal. The positive dynamics of the formation of information and technical competence of the population 65+, who are experiencing difficulties in integrating into digital health services, is shown. Conclusion: The transition of national healthcare to a value-based model involves the active involvement of the patient and the formation of patient experience in assessing the outcome of medical care. In this regard, it is necessary to take into account the patient’s personal socio-psychological compliance profile, the elements of which determine the horizons of promising research in the problem field under consideration. As a possible patient profile module, a subjective assessment of health and an assessment of information technology competencies in a social group older than working age, whose work growth is determined by demographic realities, are used.