Abstract:

Guided by the “Healthy China” strategy， establishing a healthcare payment framework based on health value holds paramount significance for fostering collaboration between healthcare providers and patients， thereby comprehensively enhancing the quality of healthcare services. It focuses on the chronic disease management process in this article where patients play a dual role as both “patients” and “healthcare provider's assistants.” It thoroughly explores the impact of three existing healthcare service payment mechanisms—fixed medical payment， service-based payment， and value-based payment—on self-health management decisions and patient-healthcare provider collaboration considering the dynamics of health value. The research findings indicate that while value-based payment aims to guide patient-healthcare provider collaboration and enhance health value， it suppresses the level of patient self-health management efforts. Due to the inability to effectively incentivize healthcare service providers， the fixed payment mechanism leads to the lowest utility in the chronic disease management system. The service-based payment mechanism can coordinate patient and healthcare provider and achieve optimal health value and system utility. The management insight of this article is that in service supply chains considering consumer coordinatively create dynamic value， administrators should be cautious about value-based payment mechanisms to prevent disincentives for collaboration.

Key words: chronic disease management, value-based, patient-healthcare provider collaboration, healthcare payment, differential game