**11. Conclusion**

There is a strategic agenda for creating value-based health-care system. It should encompass what we have seen so far in this chapter: organize into IPUs, measure outcome and costs for every patient, move to value-based reimbursement models and bundled payments, integrate and coordinate care in multi-site care delivery systems, expand across geography, and build an enabling information technology platform [30].

#### *Bioethics in Medicine and Society*

When we have achieved all these goals, we will have reached a VBHC system. The road getting there is rough but rewarding. This shift in health-care design from volume to value is already happening all over the world in all specialties, some with success and some not, but the first step in the right direction must be taken.

It is possible to achieve better results at lower costs as we have seen, and at the same time, creating value to patients. This topic needs to be further studied, but all the components to make it work all already in place and ready to be put to the test.
