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. 

NEW REPORT: In July 2018, the National Health Council convened representatives from value assessment (VA) bodies and patient groups to develop recommendations to further enhance the patient centricity of VA. This report, "A Dialogue on Patient-Centered Value Assessment: Overcoming Barriers to Amplify the Patient Voice," describes participants visions of success, current barriers, and 17 recommended actions on the part of patient groups, VA bodies, or both in collaboration for achieving success. The NHC will work with its membership and VA bodies to operationalize these recommendations as part of its Value Initiative.

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 includes modules on:

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

Check out our 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.