IHH Healthcare Bhd (KL), Malaysia’s largest hospital operator, announced on Monday its readiness to explore outcome-based payment models, driven by positive results from its recent value-driven outcomes (VDO) initiatives.
Key Takeaways:
Outcome-Based Payment Models: IHH Healthcare is prepared to assess the feasibility of outcome-based payment models, which tie payments to clinical results rather than predetermined costs. This follows successful VDO initiatives that have shown improved patient outcomes.
VDO Initiatives:
- Colonoscopy Procedures: Achieved higher-than-benchmark detection of polyps that could lead to colon cancer.
- Total Knee Replacement: Surveys indicated significant improvements in pain relief, physical function, and quality of life.
Executive Statement: Jean-François Naa, CEO of IHH Healthcare’s Malaysian operations, highlighted the maturity of data from VDO initiatives as a key factor in considering outcome-based payment models.
Government and Industry Support: Health Minister Datuk Seri Dr Dzulkefly Ahmad has advocated for private hospitals to adopt pay-for-outcome fees to curb medical inflation and enhance healthcare outcomes. The Association of Private Hospitals of Malaysia supports this proposal.
Current Coverage and Expansion Goals: IHH Healthcare’s VDO initiatives cover around 15% of its procedures, including colonoscopy and hysterectomy, at facilities like Gleneagles Hospitals, Pantai Hospitals, and Prince Court Medical Centre. The goal is to expand coverage to 50% in the near future.
Rising Medical Claims: The Life Insurance Association of Malaysia reported a 26% increase in medical claims payouts in 2023, following a 34% rise in 2022. This surge is attributed to policyholders seeking or resuming medical consultations post-Covid-19 pandemic.
Market Performance: IHH Healthcare’s shares increased by one sen or 0.16% to RM6.27 on Monday, giving the company a market valuation of RM55.22 billion.
IHH Healthcare's move towards outcome-based payment models aligns with broader efforts to enhance healthcare quality and manage costs effectively, signaling a shift in Malaysia’s private healthcare sector.
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