Report Summary
Italy is an intriguing case study of how value-based healthcare, which looks at health outcomes of treatment relative to cost, can evolve. The country offers an interesting dichotomy between a pioneering approach to financing innovative treatments on the one hand, and a more complex and arguably less sophisticated institutional structure and measures for assessing healthcare outcomes on the other.
The structure of Italy’s system for health technology assessment (HTA) reflects both its origins as a way of containing rising healthcare costs and the country’s strong economic differences between the north and the south. The uneven organisation of HTA structures at the national and the regional level contrasts with the country’s leadership role in the area of financing innovative therapies, in which consultative and assessment structures are more varied and better established than in many other European countries.
Further reading:
- An introduction to value-based healthcare in Europe
- Value-based healthcare in Germany: From free price-setting to a regulated market
- Value-based healthcare in Spain: Regional experimentation in a shared governance setting
- Value-based healthcare in France: A slow adoption of cost-effectiveness criteria
- Value-based healthcare in Portugal: Necessity is the mother of invention
- Value-based healthcare in the UK: A system of trial and error
- Value-based healthcare in Europe: Laying the foundation