KPMG’s network of healthcare professionals have extensive experience in both public and private sector health systems, and many have initiated and managed major organizational transformations to delivered significant value improvements. We work with payers and commissioners of care and provide practical, hands-on advice and support. Our teams work can help with care system redesign, working across regional health ecosystems to rethink patient pathways and shift the provision of care to more appropriate settings.
As many healthcare systems have discovered, the road to value is paved with hazards and obstructions. KPMG’s maturity matrix (see below) on the following pages presents achievable targets for becoming more value-oriented. Providers and payers can use the matrix to assess their current positions, strengths and weaknesses, and monitor progress toward value maturity.
Payers tend to be the driving force for change, but providers will also have to transform their approach to healthcare to become more outcome-oriented. Patient representative organizations can also be influential, by demanding patient-defined outcomes, self-care and accountability.
Most of the elements in the matrix are interdependent, so progress in one area needs to be supported by advances in another. As health systems reach the higher levels of maturity and achieve integrated care, the buy-in of local politicians, patients and community groups can accelerate the transformation and aid wider strategies for public health.
Creating value-based healthcare organizations – rethinking value.