Value-based healthcare is arround for a while and yet there is no alignment on how to make healthcare sustainable. There are several reasons for the slow progress in healthcare reform. Healthcare is a people business and human behaviour drives healthcare. Some forms of behaviour are slowing down the reform healthcare needs.
References and relevant books
Redefining Health Care: Creating Value-based Competition on Results by Michael E. Porter and Elizabeth Olmsted Teisberg
Redefining German Health Care: Moving to a Value-Based System by Michael E. Porter and Clemens Guth