TITLE:
Value-Based Health Care Delivery in Cardiovascular Care: Review of Models and Outcomes
AUTHORS:
Batoul Choueikani, Enaam Rudwan, Zahra Osama Ahmed Babeker, Alidjanov Xodjiakbar Kashipovich, Doaa Mohamed Taha Mohamed, Malaz Kamal Mohamed Hassan, Reem Saeed, Leena Saeed, Ahmed Rudwan
KEYWORDS:
Value-Based Health, Cardiology, Fee-for-Service, Patient-Centered Care, Integrated Health Care, Patient Outcome
JOURNAL NAME:
Open Access Library Journal,
Vol.13 No.2,
February
24,
2026
ABSTRACT: Health care systems globally are under growing strain due to rising costs, aging populations, and the increasing burden of chronic diseases, alongside inefficiencies in service delivery. Traditional fee-for-service models, which incentivize the quantity rather than the quality of care, have often led to fragmented services, inconsistent outcomes, and escalating expenditures. VBHC has emerged as a model that emphasizes delivering the best possible patient outcomes relative to the cost of care across the entire care continuum. Key features of VBHC include coordinated, outcome-focused care, systematic measurement of clinical results and costs, team-based collaboration, and linking reimbursement to performance. VBHC in cardiovascular care is implemented through integrated care models, bundled payments, and accountable or population-based payment systems. Integrated models use multidisciplinary teams to coordinate care across the continuum, reducing readmissions and improving clinical and patient-centered outcomes. Bundled payments align financial incentives across an episode of care to promote cost control, quality improvement, and reduced care variation. Accountable care and population-based models shift focus from service volume to population health outcomes, encouraging preventive strategies, coordinated chronic disease management, and cost containment. Value in cardiovascular care is measured using a comprehensive framework that integrates patient-reported outcome measures (PROMs), objective clinical endpoints (e.g., mortality, readmissions, major adverse events), and economic evaluations to assess outcomes achieved relative to resources utilized.