For many health insurance plans, regardless of the clinical indication, out-of-pocket amounts for patients are the same for many health care services. Research, however, indicates that static out-of-pocket fees lead to underuse of high-value services and overuse of interventions with little or no clinical benefit.
This article explores value-based insurance design (V-BID), which acknowledges the importance of cost-sharing, but aligns patient contributions with the intervention’s potential for clinical benefit. This allows patients to make treatment decisions based on the service and its value. This article explains what V-BID is and its progression from idea to practice.
Recent research has demonstrated that patients use services with high clinical benefit less often when it costs them more. Recent V-BID demonstration projects show that V-BID is “feasible, acceptable to employees, and produces clinical and economic returns,” (Mahoney 2008). Growing evidence and education of V-BID’s potential merits in both addressing quality improvement, and cost containment and advocacy work ensured its inclusion in the Patient Protection and Affordable Care Act (PPACA).
- 1. Expanding the Safety-Net of Specialty Care for the Uninsured
- 2. Translation of Evidence-Based Clinical Standards into a New Prehospital Resuscitation Policy in Los Angeles
- 3. Physician Social Networks and Variation in Prostate Cancer Treatment in Three Cities
- 4. Value-Based Insurance Design
- 5. Is Patient Safety Improving?
- 6. The Association of Health Insurance and Disease Impairment with Reported Asthma Prevalence in U.S. Children
- 7. A Policy Impact Analysis of the Mandatory NCAA Sickle Cell Trait Screening Program
- 8. Nonfinancial Barriers and Access to Care for US Adults
- 9. Physician Practices and Readiness for Medical Home Reforms
- 10. Does a Video-Interpreting Network Improve Delivery of Care in the Emergency Department?
- 11. Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care
- 12. State-Level Variations in Racial Disparities in Life Expectancy
- 13. "Does this Doctor Speak My Language?"
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
Recent studies have demonstrated a connection between low-socioeconomic status and poor health in children. This study builds upon previous ...
This study examined the impact that race has on the prevalence of self-reported diabetes for Hispanic and non-Hispanic people. Data from the...
In this article, the authors consider the social, structural and symbolic effects of the recent and rapid spread of legal gambling in the Un...
Immigrants and their children are one of the fastest growing components of the U.S. population. One in five Americans under the age of 18 is...
Most studies investigating links between social capital and health have relied on work by Robert Putnam who conceptualized social capital as...
The present article considered cardiovascular patients' adherence to physicians' medication recommendations. Nonadherence was defined as fol...
This study examined the prevalence of attention-deficit/hyperactivity disorder (ADHD) among children in the United States. Also of interest ...
The current article explored risk factors for iron deficiency for toddlers in the United States with a focus on Hispanic toddlers. Data from...
The research presented in this article compared the density and concentration of pro-tobacco media messages in African-American and White ma...
This article describes efforts to use information on influenza burden and vaccine efficacy to estimate how influenza vaccine recommendations...