VBID Center

Since its inception in 2005, the University of Michigan Center for Value-Based Insurance Design (V-BID) has led efforts to promote the development, implementation, and evaluation of innovative health benefit designs balancing cost and quality. A multidisciplinary team of faculty, including A. Mark Fendrick, MD and Michael E. Chernew, PhD, who first published and named the VBID concept, have guided this approach from early principles to widespread adoption in the private and public sectors. The Center has played a key role in the inclusion of VBID in national healthcare reform legislation, as well as in numerous state initiatives. The basic VBID premise is to align patients' out-of-pocket costs, such as copayments, with the value obtained from health services and providers.
February 08, 2018
Precision co-pay assistance programs have the potential to improve prescription affordability while increasing efficiency of limited patient assistance funds.
January 15, 2018
In 2017, value-based insurance design was 1 of the few healthcare concepts that maintained consistent bipartisan support. Here is a look at progress made in value-based reform using VBID concepts.
December 27, 2017
One way to improve healthcare quality and efficiency and reduce the use of unnecessary care is to apply the principles of value-based insurance design, which aligns patients’ out-of-pocket costs with the value of services.
December 08, 2017
CMS' update to the Medicare Advantave Value-Based Insurance Design Model, demonstrate CMS’ continued commitment to expanding the demonstration and allowing participating plans more flexibility for customized benefit designs.
November 25, 2017
A recently remeleased rule proposal for Medicare Advantage would give plans greater flexibiilty around the uniformity requirement and allow for the implementation of value-based insurance design principles.
November 10, 2017
A campaign to cut low-value clinical services has identified the top 5 based on cost, harm, and prevalence that can be targeted for reduction.
March 26, 2017
When Connecticut was facing a projected budget gap of $3.8 billion, the governor's office and a coalition of unions considered how to make changes to the state health plan in order to mitigate the shortfall.
March 12, 2017
As health reform discussions progress, influential stakeholders have urged policy makers to consider increasing the flexibility of health savings account—eligible high-deductible health plans.
February 02, 2017
The University of Michigan Center for Value-Based Insurance Design (V-BID) celebrated significant initiative milestones in 2016.
November 30, 2016
There has been increased bipartisan support around the expanded role of value-based insurance design.
October 25, 2016
Clinical nuance is one of the core tenets of value-based insurance design, which is one possible solution to alleviate the financial burden Americans face as they are asked to pay a greater percentage of their healthcare expenditures.
October 19, 2016
In current Medicare benefit designs, out-of-pocket costs do not reflect the expected clinical benefit or value of care. Research indicates that increasing patient cost sharing not only reduces the use of non-essential care, but also reduces the utilization of essential care.
October 11, 2016
The use of low-value care and the associated cost is a significant concern in the US healthcare system. However, solutions to measure, identify, and eliminate low-value care are challenging and complex.
October 04, 2016
High-deductible health plans paired with a tax-free health savings account represent a growing percentage of plans across the health insurance landscape.
September 26, 2016
Access to, and levels of spending on, prescription drugs has become an important public policy issue. The development and implementation of patient-centered solutions that allow access to medications at an affordable cost are of critical importance.
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