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Michael Friebe

Health Transformation Toward Prevention Requires Progress Metrics in Value Creation

People want health, not healthcare. Yet most systems still reward interventions over prevention—leaving root causes unaddressed and value unclear. Moving from treatment to true prevention demands new incentives, new models, and above all, credible metrics that show progress across clinical, economic, and equity outcomes.

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Without clear, trusted metrics for value and effectiveness, prevention remains a promise rather than a priority.

Across high-income countries, fee-for-service economics still favor procedures, not prevention—despite a rising burden of lifestyle-driven chronic disease. Stakeholders pull in different directions, investments arrive late, and change moves slowly through regulation and entrenched workflows. A prevention-first paradigm needs more than technology: it needs aligned incentives, physician engagement, and measurable proof that predictive, personalized strategies improve outcomes and sustainability. From value-based payment to platform ecosystems and Prevention-as-a-Service, the path forward is to make prevention investable—and to track its impact transparently with leading, lagging, and predictive indicators people can trust.

When Staying Healthy Becomes the Goal:
Reimagining the Business of Care

What you’ll learn

  • Why fee-for-service undermines prevention—and how value-based models can realign incentives

  • Where stakeholder misalignments block change (clinicians, hospitals, payers, pharma, government, patients)

  • How predictive analytics, wearables, and personalized prevention can scale access and equity—without excessive cost

  • Which progress metrics matter (leading, lagging, predictive, value-based) and how to use them credibly

  • What roles policy, financing, and cross-sector collaboration must play to make prevention measurable, investable, and fair

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Michael Friebe is Professor of Healthtech Innovation Design at AGH University of Krakow, Poland. He is member of the medical faculty of the Otto-von-Guericke University, Magdeburg, Germany, and Founding Partner of 5P Future of Health GmbH, Bochum, Germany.

About the Author
Prof. Dr. Dipl.-Ing. Michael Friebe

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