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Value-Based Healthcare in Canada
Value-based healthcare focuses on aligning the resources invested in health programs and services with the outcomes that matter most to patients and communities.1 It emphasizes patient-centered results, rather than simply measuring the volume of services delivered.2
Value-Based Healthcare is a framework that shifts the focus away from the volume of services delivered and, instead, prioritizes the quality of outcomes achieved for the patients.2 Better value reflects achieving higher quality for every dollar spent - driven by outcome, not cost-savings alone.
Why it matters now
Total health care spending in Canada is expected to reach
$ 0B
in 2025 or $9626 per Canadian 3
Record healthcare spending
0%
of Canada’s GDP 3
Canada’s healthcare system is under growing pressure from aging population, workforce shortages, and increasing demand for complex care.4 With health spending costing $399 billion and reaching nearly 13% of GDP, the current model is becoming unsustainable.3 Value-based healthcare (VBHC) offers a path forward by shifting the focus from volume to outcomes — ensuring that every dollar spent delivers measurable improvements in patient health. By prioritizing high-quality care, reducing complications, and optimizing the entire patient journey, VBHC can help relieve system strain while improving results for Canadians.
Canada’s healthcare system is embracing the Quintuple Aim—a framework that goes beyond improving outcomes and reducing costs to also prioritize patient experience, provider well-being, and health equity. This approach ensures a more sustainable, inclusive, and patient-centered future for Canadian healthcare.5 Value-based healthcare is the model that enables this vision by aligning resources, incentives, and procurement decisions with the outcomes defined in the Quintuple Aim.1 By focusing on value rather than volume, VBHC turns these five principles into measurable improvements across the entire patient journey.
Puts patients at the center by prioritizing patient satisfaction, overal quality of care, accessibility, personalization and emotional support.5
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Including Health Equity in the Quintuple Aim acknowledges the varied needs and challenges of different subgroups within the population, underscoring the necessity of tailored healthcare solutions.5
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Drives economic efficiency by eliminating waste, allocating resources and optimizing processes to lower costs while maintaining high-quality care.5
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Supporting clinician well-being ensures motivated providers who deliver safe, patient-centered care.5
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Health equity initiatives strive to ensure that all individuals, irrespective of socio-economic, racial, or geographic background, can seek and receive the care they need.5
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Value-based procurement (VBP) is how value-based healthcare becomes reality. VBP is a purchasing approach that evaluates products not solely on the single-unit price but on the total value they deliver across the patient journey (patient outcomes, quality improvements, health system efficiency, and long-term cost reductions). Instead of selecting the lowest-cost option, VBP considers a comprehensive approach to procurement that focuses on performance and patient outcomes.6 Ultimately, VBP serves as a vital pathway toward value-based healthcare, enabling both potential cost savings and improved patient experiences.7
HealthPro 2019
“Reformed procurement systems should take into account not just the upfront cost of an item but its long-term value... The health care sector should stop focusing on products that are cheap and instead focus on products that bring value, [which] can come in the form of better outcomes, reduced nursing requirements or increased patient satisfaction. ”
