Gary Finnegan

Web-based clinic in the Netherlands improves outcomes while saving time and money. Doctors and patients have teamed up to build a teen-friendly app and, as the system is adopted more widely, healthcare providers will be paid for online care

The genomics revolution has brought personalised medicine to cancer and rare diseases, but cardiovascular care is stuck in the past. An EU-funded initiative aims to change that

Unlike hip replacements or cataract surgery, treating mental health conditions can be open-ended - and assessing outcomes subjective. But now there is a push to develop standards and enable mental health to join the value-based healthcare revolution   

Health insurers and pharma companies are striking pay-for-results deals under which rebates are offered if a drug does not perform as well in the real world as in clinical trials

Paying hospitals for activity provides no incentive to improve. Using historical data, patients awaiting cardiac surgery can be profiled, with hospitals paid extra to bear the risk of complications, but receiving no further payment if a second operation is required

Quality of life measures used to assess the value of medical treatments fail to capture what matters to patients and carers. A UK project to develop new metrics could lead to an overhaul of how cost-effectiveness is judged