In Odsherred municipality, a value-based diabetes project was introduced for a two-year period starting in December 2017. Payment was regulated by a pay-for-performance agreement between the medical device company Roche Diabetes Care and Odsherred municipality. The aim of the project was to ensure that Type 2 diabetic patients received the necessary support, counselling and tools, and the municipality’s reimbursement depended on the value delivered to the patients. The tool used was the latest blood glucose monitoring equipment and an app that was installed on mobile phones or tablets of some of the municipality’s diabetes patients.

In the following we present preliminary lessons about value-based healthcare in Denmark based on a pay-for-performance project between Odsherred municipality and Roche Diabetes Care. Using these lessons as a starting point, we discuss issues of the feasibility and transferability of the VBHC concept to other settings.