Guide to Achieving High-Value Care: Aligning Strategies with Our Evidence-Based Understanding of Harm Drivers

A patient-centered, high-value health system is coordinated with the public health and social services sectors and focuses on the goals and needs of people it is meant to serve; that means addressing inequities, high costs, poor coordination, and other problems. 

Achieving patient-centered, high-value healthcare requires an evidence-based understanding of the drivers of high costs, uneven quality and health inequities, as well as evidence with respect to the strategies that counteract those drivers. Our high-level road map below serves as a guide to this evidence.  

Harm Drivers

High and Rising Unit Prices

Rising unit prices are our most important cost driver, accounting for the majority of annual increases in per capita medical spending.

Waste/Low-Value Services/High-Value Services

Quality Variation

It is well established that Americans generally do not get higher quality care for our high spending. Moreover, unwarranted variations in health outcomes contributes to health inequities.

Not Patient Centered


Healthcare Coverage and Value are Intertwined

Coverage is the top factor in improving access to care, coordination of care and quality outcomes. Better healthcare value is essential to sustaining coverage gains. Reforms designed to produce better value (e.g., provider payment reform) rely on a population with coverage. More on this topic.

States are Key Actors

Healthcare value solutions will differ according to states' unique populations and local environments. Most states lack critical data and organizational infrastructure to customize the solutions for their area—our resources can help.

Addressing Social/Personal Determinants of Health

Healthcare, public health and social services must work together to fully address the goals and needs of the people they serve.

Addressing High Unit Prices

Addressing Waste

Rural/Underserved Areas

Consumer Engagement is Key to Success

People’s voices and priorities must be reflected in health-related community-based initiative, new care models and public and private health policy decision making