BackgroundWhen the commissioner of healthcare services is responsible for all health services of a certain population, the commissioner is incentivized to steer service producers towards better value (i.e. outcomes relative to costs). Value-based healthcare provides a setting for creating better value, but it is currently limited to some patient segments, not the whole population, and does not serve the purpose of steering multiple service providers with varying service portfolios and different

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... degrees of specialization. This paper presents a tentative value-based steering model that aims to fill this gap in research and in practice.ResultsWe constructed a value-based steering model which consists of three parts: (1) the principles of steering; (2) the steering process; and (3) Value Steering Canvas, a concrete tool for steering. ConclusionsThe commissioning body can start using value-based steering without changes in legislation or the present service system.