HealthCare in 3 Dimensions produces a new and novel way to promote health care cost containment. The metaphor of 3 Dimensions offers a generic way of containing broad categories in the Healthcare Ecosystem. These categories, in HCn3D called Dimensions, include the patient, provider and health plan networks, and population level Value. The benefit of this full scope of Dimensions of the health care ecosystem is that the markedly varying scale of the Dimensions can be included in cost analysis. The Value proposition promoted in Value Based Purchasing originates from the population scale and is implemented at the patient scale. HCn3D achieves a different kind of amalgamation by framing information about the patient in a format that includes the full complement of patient’s complexity as the originator of information. The plan level population as the destination of information receives the product of care, cost, and compliance pathways. These pathways lead to value, which is not limited to financial plan level metrics when the full complement of information from the 3 Dimensions defines a pathway.

The new and novel way to do this amalgamation of information at scale is with counterfactual properties. These properties include interoperability and possibilities of choices in the moment on the pathway. Pathways include many moments, or points in time and place that define events, and episodes, which all have patient centering in common. When moments proceed as points in time along a pathway, information proceeds without obstruction if this information is interoperable. HCn3D functions as the gatekeeper to keep things moving towards objectives. The scenario section will describe how HCn3D qualifies this dynamic.