Value Initiative

The U.S. health care system is undergoing a transformation in how it delivers and pays for care. As traditional fee-for-service gives way to value-based arrangements, understanding the “value” of health care has become a national priority. Value frameworks have emerged as tools to help stakeholders assess new treatments. But, the utility and role of these new tools are being debated. The National Health Council is focused on ensuring the voice of the patient and patient organizations are an integral part of this discussion. 


Value Initiative Actions


Value Frameworks

Value frameworks are tools and approaches that seek to compare and quantify the positives, negatives, and costs for one or more treatments to assess which seems to be the best choice. Value frameworks and supporting models can help advance the national dialogue on value in health care, but only if they incorporate the patient voice throughout. 

The National Health Council is a partner on the University of Maryland, Baltimore’s Center of Excellence for Patient-Driven Value Assessment (PAVE). The newly established PAVE Center will strive to promote the inclusion of diverse patient voices in research to help uncover the elements of value in health care that are most important to patients. Read More.

Value Model Rubric

The National Health Council, with stakeholder input, has created a Value Model Rubric to help evaluate the patient centeredness of value models and to guide value model developers on the meaningful incorporation of patient engagement throughout their processes.

The Value Model Rubric is described in “Value to Whom? The Patient Voice in the Value Discussion,” a peer-reviewed manuscript published in Value in Health.

Recently NHC presented "Improving The Patient Centricity Of  Value Assessments: A Rubric" at HTAi’s 14th Annual Meeting on June 17-21, 2017 at the Ergife Palace Hotel in Rome, Italy. Click here to view the slide presentation.

Get-Ready Checklist

The National Health Council, with multi-stakeholder input, has created the Value Framework Get-Ready Checklist to help patients and patient groups become more engaged in discussions on value, and with value framework developers regarding ways in which they can better consider the patient perspective.

Health Economics

The National Health Council’s Health Economics 101 course will be available on our website soon. The course includes modules on:

  1. The Current Health Care Environment and the Role of Health Economics
  2. Introduction to Basic Terms
  3. The Mysterious QALY: what is cost-effectiveness and how and why is it used
  4. Budget Impact Analysis
  5. Value Frameworks
  6. The Role of the Patient and Patient Advocates in Value Assessment
  7. Steps to Activation

We will expand the course over the next 18 months with support from a Patient-centered Outcomes Research Institute contract.

In the meantime, please check out a three-part webinar series on Patient Engagement in Value Assessment.


Recently, NHC presented “Tackling Representativeness: A Roadmap and Rubric” at HTAi’s 15th Annual Meeting in Vancouver, Canada.

Recent peer-reviewed publications:


Other Value Initiatives:

NHC Three-Part Webinar Series on Alternative Payment Models (APMs)

As innovative payment models continue to evolve and transform the US health care system, patients must be engaged and activated. This webinar series is specifically developed for the patient community.