This initiative evaluates the health impact of an integrated preventive primary care model implemented by a private insurer in Colombia, designed under Value-Based Health Care (VBHC) principles. The model aims to improve health outcomes while optimizing healthcare costs by transitioning from a reactive disease-centered approach to proactive, person-centered prevention across the full continuum of care. It represents an innovative strategy in Colombia, where integration of prevention, systematic outcome measurement, and value-based payment mechanisms remain evolving.
The initiative is distinctive in combining population risk stratification, multidisciplinary teams, digital health infrastructure, and coordinated care networks under a capitated financing scheme aligned with value-based incentives. Preventive services are delivered through outpatient pathways, home care, and hospital coordination, supported by electronic health records, telemedicine, and clinical risk management platforms.
The model integrates primary, secondary, tertiary, and quaternary prevention strategies, addressing chronic non-communicable diseases, early detection programs, mental health, maternal care, and elderly care.Patient engagement is central.
The model emphasizes continuity of care, shared decision-making, patient education, therapeutic adherence support, and systematic measurement of patient experience and perceived well-being. Patient-reported outcome and experience measures (PROMs and PREMs), satisfaction indicators, adherence metrics, and clinical outcomes are integrated to ensure person-centered care aligned with VBHC principles.
Methodologically, the initiative applies a retrospective longitudinal observational design based on secondary institutional data from 2020 to 2024.
Key indicators include preventive coverage, adherence, clinical control, hospitalizations, service utilization, costs, and patient experience metrics.
The model operates through a national network of integrated outpatient medical centers and preventive care sites, including a specialized preventive medicine center established in 2023 that has delivered more than 275,000 preventive interventions.
Its organizational structure is scalable, supported by sustained capitated financing and digital interoperability, enabling geographic and population expansion while maintaining homogeneous quality standards.
Findings suggest increased participation in preventive programs, improved chronic disease follow-up, early signals of reduced avoidable hospitalizations, and cost stability. These results demonstrate the potential of integrated preventive primary care models to simultaneously improve health outcomes, patient experience, and financial sustainability.By generating robust real-world evidence on the implementation of value-based preventive care within a middle-income health system, this initiative aims to inform organizational strategy, health policy, and broader adoption of value-based preventive models, contributing to a more equitable, sustainable, and patient-centered health system.