Redefining German Health Care

Moving to a Value-Based System

  • Michael E. Porter
  • Clemens Guth

Table of contents

  1. Front Matter
    Pages 1-1
  2. Michael E. Porter, Clemens Guth
    Pages 1-4
  3. Michael E. Porter, Clemens Guth
    Pages 5-24
  4. Michael E. Porter, Clemens Guth
    Pages 25-52
  5. Michael E. Porter, Clemens Guth
    Pages 53-69
  6. Michael E. Porter, Clemens Guth
    Pages 71-106
  7. Michael E. Porter, Clemens Guth
    Pages 107-149
  8. Michael E. Porter, Clemens Guth
    Pages 151-165
  9. Michael E. Porter, Clemens Guth
    Pages 179-206
  10. Back Matter
    Pages 251-251

About this book


 The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends.

 Why has Germany failed to solve these cost and quality problems? The reason is that Germany has not set value for patients as the overarching goal, defined as the patient health outcomes achieved per euro expended.

 This book lays out an action agenda to move Germany to a high value system: care must be reorganized around patients and their medical conditions, providers must compete around the outcomes they achieve, health plans must take an active role in improving subscriber health, and payment must shift to models that reward excellent providers. Also, private insurance must be integrated in the risk-pooling system.

These steps are practical and achievable, as numerous examples in the book demonstrate. Moving to a value-based health care system is the only way for Germany to continue to ensure access to excellent health care for everyone.


Germany Health Care Health Economics Insurance Value-based System

Authors and affiliations

  • Michael E. Porter
    • 1
  • Clemens Guth
    • 2
  1. 1.Inst. Strategy & CompetitivenessHarvard Business SchoolBostonUSA
  2. 2.MünchenGermany

Bibliographic information

  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 2012
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Business and Economics
  • Print ISBN 978-3-642-10825-9
  • Online ISBN 978-3-642-10826-6
  • Buy this book on publisher's site