Pay for performance is an incentive payment scheme for health providers according to compliance with proposed health goals and the quality of services provided. Neuroeconomix offers a summary of the pay for performance scheme and its possible application in the Colombian health system.
Vertical integration is a process in which two schemes or links are integrated in the value chain, in a single company. Applying this concept to the health sector, this refers to the governance structure designed to coordinate and control the care services in different states of the value chain, as well as to facilitate collaboration and communication between service providers.
The main recommendation to establish a value framework is to exalt the QALY as one of the pillars to identify if a health plan should cover or reimburse a specific technology, considering other elements as well.