Value-Based Insurance Design

ARTICLES

In testimony before the US House Ways and Means Committee’s Health subcommittee, Mark Fendrick, MD, co-director of the University of Michigan Center for Value-Based Insurance Design, discussed the importance of allowing for flexibility and clinical nuance when it comes to encouraging value in Medicare Advantage plans.
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.
A study on the impact of a value-based pharmacy benefit on medication adherence found that offering free chronic disease medications maintained patients’ levels of adherence even after switching to a health plan with a deductible.
Panel discussion with Gerard F. Anderson, PhD, of Johns Hopkins University; Jenny Bryant of PhRMA; Matt Eyles of AHIP; A. Mark Fendrick, MD, of the University of Michigan Center for Value-Based Insurance Design and co-editor in chief of AJMC; Dan Klein of PAN Foundation; and Grant D. Lawless, RPh, MD, FACP, of University of Southern California. The discussion took place at the Cost-Sharing Roundtable: Sustainable Strategies for Providing Access to Critical Medications. The event was co-hosted by the PAN Foundation and The American Journal of Managed Care®.
By 2020, more plans will incorporate value-based insurance design (VBID) principles as a way to lower cost sharing for high-value services and potentially increase cost sharing for low-value services, according to Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and director of the Healthcare Markets and Regulation Lab in the Department of Health Care Policy at Harvard Medical School.

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