Bupa and Cleveland Clinic London launch value‑based cardiac care pilot

Bupa UK Insurance and Cleveland Clinic London have launched a value-based healthcare pilot programme focused on enhancing outcomes in cardiac care, building on the success of their first initiative in arthroplasty. 

The pilot follows the strong performance of the first value‑based collaboration in arthroplasty between Cleveland Clinic and Bupa, introduced in 2024 where arthroplasty patient-reported outcome scores showed an average improvement of 63% from baseline, with no significant clinical complications observed across the cohort. 

Building on this, the new programme will focus on improving outcomes for patients undergoing a range of cardiac treatment such as electrophysiology, interventional cardiology and cardiac surgery.

As part of the agreement, Bupa and Cleveland Clinic London will continue to offer a no‑shortfall guarantee for consultant fees. This aims to ensure that Bupa members will not face unexpected out‑of‑pocket consultant charges – even when fees exceed their coverage allowance – resulting in a more seamless and predictable care experience.

The programme’s value‑based structure ties Cleveland Clinic’s reimbursement to measurable health improvement, encouraging enhanced co-ordination, continuity of care, and long‑term patient wellbeing. By moving further away from traditional fee‑for‑service models, the organisations say they are aiming to promote more effective and efficient care plans for cardiac patients.

Bernard Prendergast, chairman of cardiology at Cleveland Clinic London, said: “Cleveland Clinic is recognised globally for its expertise in heart care and its commitment to putting patients first.

“Our aim is to deliver high quality and transparent care to every patient. We’re pleased to extend our value-based care collaboration into cardiac care, where positive outcomes can extend longevity and improve quality of life.”

Dr Ravi Lukha, medical director for Bupa UK Insurance, added: “Building on the encouraging results from our arthroplasty pilot, we’re pleased to extend this approach into the more complex field of cardiac care. 

“Working with Cleveland Clinic London will help us understand how innovative reimbursement models can support high-quality, patient-centred care, in line with Bupa’s purpose of helping people live longer, healthier, happier lives.”

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