Advancing Value Assessment in the United States: A Multistakeholder Perspective.

Journal Article (Journal Article)

Rising costs without perceived proportional improvements in quality and outcomes have motivated fundamental shifts in health care delivery and payment to achieve better value. Aligned with these efforts, several value assessment frameworks have been introduced recently to help providers, patients, and payers better understand the potential value of drugs and other interventions and make informed decisions about their use. Given their early stage of development, it is imperative to evaluate these efforts on an ongoing basis to identify how best to support and improve them moving forward. This article provides a multistakeholder perspective on the key limitations and opportunities posed by the current value assessment frameworks and areas of and actions for improvement. In particular, we outline 10 fundamental guiding principles and associated strategies that should be considered in subsequent iterations of the existing frameworks or by emerging initiatives in the future. Although value assessment frameworks may not be able to meet all the needs and preferences of stakeholders, we contend that there are common elements and potential next steps that can be supported to advance value assessment in the United States.

Full Text

Duke Authors

Cited Authors

  • Sorenson, C; Lavezzari, G; Daniel, G; Burkholder, R; Boutin, M; Pezalla, E; Sanders, G; McClellan, M

Published Date

  • February 2017

Published In

Volume / Issue

  • 20 / 2

Start / End Page

  • 299 - 307

PubMed ID

  • 28237214

Electronic International Standard Serial Number (EISSN)

  • 1524-4733

Digital Object Identifier (DOI)

  • 10.1016/j.jval.2016.11.030


  • eng

Conference Location

  • United States