This study aims to comprehensively review recent evidence on methods for enhancing value measurement in chronic disease management and evaluating patient-centered service models. It aims to grasp domestic and international trends, analyze the value-based outcomes of Korea's primary care chronic disease management pilot project under health insurance, and examine the current operational model's limitations and improvement directions. The study proposes innovation tasks to establish a primary care-centered chronic disease management system as an essential foundation for innovating the Korean healthcare system.