In 2009, we wrote a white paper as the US considered how to improve health outcomes through access and affordability–yes, the beginnings of the ACA. We created this paper to document some early evidence of health quality and economic sustainability with value-based designs. We are re-launching it today because it seemed to have “fallen off” of our website, and it contains some case studies and rationale that some communities may be seeking. The Health Value Accelerator™ and our Innovation Summits are showing that the shift in thinking is what is most needed: how we look at our data, how we prioritize behavior changes, how we contract for services (outcomes-based contracting) can all line up over and over again as the 4Ds: Data, Design, Delivery, Dividends, the 4Ds of quality improvement in a value-based design. We hope you find this paper useful. Community Health/Economic Health: A Message to Industry

