Webconference Recording

Global Perspectives on Primary Care

What we learned visiting Cuba’s health system

About the Webconference

Cuba is known internationally for affording its citizens universal access to health care despite facing well-known resource constraints. What's more, Cuba achieves health care outcomes comparable to the U.S., at a significantly lower cost.

To understand how the Cuban health care system works to manage the health of its population, a team from Advisory Board went to Havana to observe it firsthand. They saw that the Cuban system emphasizes community-based practice, prioritizes preventive health, and reinforces a culture of primary care. They also saw that, despite fundamental differences in how health care is structured and paid for, the U.S. is already following many of the same principles as Cuba. In the U.S., providers have adapted the way they execute on these principles to succeed in a landscape where health care is decentralized, primary care physicians are scarce, and financial incentives don’t always align with the goal of managing population health.

With payment programs pushing providers ever more urgently toward value, providers want to be prepared. If we look to Cuba as an example, we can understand how U.S. providers' comparable investments and strategies can help them succeed in a world that prizes population health management.

Things You’ll Learn:

  • Cuba's road map to transformation, including how they defined clear goals, aligned provider efforts around achieving them, and set up an infrastructure to manage transformation in the long term
  • How the U.S. overcomes barriers to population health management by leveraging extended care teams, hotspotting, and engaging in community partnerships
  • Examples of U.S. provider organizations that embody Cuba's approach to care

Presenter: Christopher Gifford