- The failures of the most prevalent payment systems range from fee-for-service and block grants to the current attempts to pay for performance.
- Quality and costs. Healthcare systems are facing pressure to cope with rapidly ageing populations, a higher prevalence of chronic diseases and ever rising expectations.
- The quest for the Holy Grail. Policymakers and payers globally are rethinking payment mechanisms to instead reward value: high-quality, efficient care.
- The building blocks that make it work. What would a payment system that is built upon realising value actually look like? How can payers pay for outcomes rather than for inputs?
- Contracting value: where value is created. With these building blocks in place, it is now possible for the purchaser to contract the delivery of a set of outcomes for a given population.
- Conclusion: Existing payment systems are by no means the only culprit standing in the way of sustainable, high quality healthcare systems.
KPMG's global website contains an interactive version of this report.