Value-based Health Assessment in Italy: A decentralised model

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.

Value-based healthcare in Spain: Regional experimentation in a shared governance setting

Spain’s decentralised National Health System grants financial, planning and management powers to the regional health services of the country’s 17 autonomous communities and two autonomous cities. In addition the regions also have more responsibility for the appraisal of treatments and care pathways, and for final price negotiations with drug manufacturers.

Private sector must play a proactive role to defeat cancer

Cancers are among the leading causes of death worldwide. The 2014 World Cancer Report of the World Health Organization (WHO) projects that in the next 20 years cancer cases will surge 75% up from 2008 figures to 25 million per year worldwide*. This will come at an economic cost of US$1trn, with similarly debilitating social costs—straining rich countries and damaging poor ones.

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