Determining factors influencing the ability of value-based-insurance designs to improve adherence to essential chronic medications

The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.The purpose of this project is to determine the factors that influence the success of value-based insurance design plans (VBID) and to develop "best practices" for future implementation. The researchers will conduct a series of natural experiments examining VBID plans implemented by CVS Caremark, a large pharmacy benefit manager, on behalf of numerous clients. They will evaluate the impact of different VBID characteristics on patterns of adherence, discontinuation and use of statins by: (1) developing a system to classify differences in VBID plan characteristics that may influence the ability of these plans to stimulate the use of evidence-based medications; (2) surveying plan administrators and plan sponsors to identify additional plan features that might confound the relationship between VBID plan characteristics and medication use; and (3) using pharmacy claims to determine which VBID design features (and combinations thereof) most effectively stimulate appropriate medication use. Deliverables will include a project work plan, annual narrative and financial reports, a final narrative and financial report, and a final policy summary. The grantee will also produce paper(s) suitable for publication as part of the deliverables for this grant.

Grant Details

Amount Awarded $251,308.00

Awarded on: 4/21/2010

Time frame: 5/1/2010 - 4/30/2012

Grant Number: 67459


Brigham and Women's Hospital

75 Francis Street
Boston, 02115-6110


Niteesh K. Choudhry
Project Director