The ACC Value-Based Health Care (VBHC) Initiative is a global effort to transform cardiovascular care by focusing on outcomes and cost—rather than volume alone. This Initiative aims to equip clinicians and health systems with the real-world data needed to deliver high-value care.

Aortic stenosis (AS), the most common valvular heart disease, presents a growing global burden. As transcatheter aortic valve replacement (TAVR) procedures rise, understanding their true value—through outcomes, patient experience, and resource use across full care cycles—is essential. Through the support of the Assembly of International Governors and the Value Based Health Care Work Group, ACC has launched a TAVR VBHC data collection effort across international sites. By analyzing variations in practice, outcomes, and costs, the initiative will identify opportunities to improve value for patients and health systems worldwide.

Participating centers and registries will contribute data via a standardized electronic form, helping pave the way for future VBHC implementation in cardiovascular care.

How to Participate

The Value Based Health Care Initiative is actively recruiting sites to participate in the program!

To apply for the Value Based Health Care Initiative, please reach out to VBHC@acc.org. We will respond with the next steps and the onboarding process.

Value Based Health Care Work Group Members, 2025-2026

The Value Based Health Care Initiative would like to thank the 2025-2026 Workgroup members for their commitment to and passion for the program.

• Fumiaki Ikeno, Chair, Japan
• Leonard Kritharides, Immediate Past Chair, Australia
• Paul Casale, Domestic Liaison, United States
• Bashir Hanif, Pakistan
• Angel Garcia, Colombia
• Caio Fernandez, Brazil
• Alexandra Konradi, Russia
• Ahmed Elamragy, Egypt  
• Sotos Nedios, Germany
• Mahboobeh Gholipour, Iran

Interested in joining the Value Based Health Care Work Group? Applications are open from February to March each year. Find more information here.