• Center on Health Equity and Access
  • Clinical
  • Health Care Cost
  • Health Care Delivery
  • Insurance
  • Policy
  • Technology
  • Value-Based Care

Dr Mark Fendrick Highlights VBID Elements in the Inflation Reduction Act

Video

Elements inspired by the principles of value-based insurance design (VBID) were incorporated into the recently signed Inflation Reduction Act, which could help reduce costs of care for patients, according to A. Mark Fendrick, MD, co–editor in chief of The American Journal of Managed Care® and director of the V-BID Center at the University of Michigan.

Elements inspired by the principles of value-based insurance design (VBID) were incorporated into the recently signed Inflation Reduction Act (IRA), which could help reduce costs of care for patients, according to A. Mark Fendrick, MD, co–editor in chief of The American Journal of Managed Care® and director of the V-BID Center at the University of Michigan.

Transcript

How is the IRA implementing some VBID elements to reduce out-of-pocket costs for essential medical services?

We were very excited to see that the Inflation Reduction Act of 2022 includes several value-based insurance design, or VBID, related elements. Notably, first, it caps Medicare patients’ out-of-pocket costs at $2000 per year, with an option to break that amount into affordable monthly payments. Second, it covers adult vaccines recommended by the Advisory Committee on Immunization Practices at the CDC, under Medicare Part D without cost sharing. Third is amendment of the Internal Revenue Service code to create a safe harbor allowing health savings account qualified health plans to cover insulin prior to meeting the plan deductible, and most notably and covered widespread by the media, the cap on Medicare patients’ out-of-pocket costs for insulin at $35 per month.

Related Videos
Debra Boyer, MD, MHPE, ATSF.
Mila Felder, MD, FACEP, emergency physician and vice president for Well-Being for All Teammates, Advocate Health
Plasminogen is vital in the body's coagulation process and breaking down clots | image credit: peterschreiber.media - stock.adobe.com
ISPOR 2024 Recap
Chris Pagnani, MD, PC
Screenshot of Stephen Freedland, MD, during a video interview
Phaedra Corso, PhD, associate vice president for research at Indiana University
Julie Patterson, PharmD, PhD
William Padula, PhD, MSc, MS, assistant professor of pharmaceutical and health economics, University of California Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences
Michael Morse, MD, Duke Cancer Center
Related Content
© 2024 MJH Life Sciences
AJMC®
All rights reserved.