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PAPER OF THE WEEK: Benefit-Based Co-pay and the Origins of Value-Based Insurance Design
This week's paper from our editors-in-chief presented the idea of tying a prescription drug's cost-sharing to its clinical value to the patient.
Welcome to Paper of the Week, which looks back at research and commentary from the past 25 years in The American Journal of Managed Care®, and why they matter today. This week, we revisit one of the most important papers to appear in the journal—from our own editors in chief—A. Mark Fendrick, MD, and Michael Chernew, PhD, who in 2001 presented the idea of tying a prescription drug’s cost-sharing to its clinical value to the patient.
This concept, presented in the paper, “A Benefit-Based Copay for Prescription Drugs: Patient Contribution Based on Total Benefits, Not Drug Acquisition Cost,” is a foundation of value-based insurance design (V-BID), which both Fendrick and Chernew have examined for the past 20 years. Fendrick serves as director of The University of Michigan’s V-BID Center, while Chernew is director of Harvard’s Healthcare Markets and Regulation Lab.
For the 2001 paper, visit ajmc.com.
This week, Fendrick made a presentation to members of the Northeast Business Group on Health on V-BID’s potential for employers. He was joined by Suzanne Delbanco of Catalyst for Payment Reform. For coverage of the session, visit ajmc.com.
How Can Employers Leverage the DPP to Improve Diabetes Rates?
February 15th 2022On this episode of Managed Care Cast, Jill Hutt, vice president of member services at the Greater Philadelphia Business Coalition on Health, explains the Coalition’s efforts to reduce diabetes rates through the Diabetes Prevention Program (DPP).
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Key Issues Influencing 2022 Employer Health Care Strategy and Plan Design
August 31st 2021On this episode of Managed Care Cast, we speak with Ellen Kelsay, president and CEO of the Business Group on Health, on the findings from her organization's 2022 Large Employers’ Health Care Strategy and Plan Design Survey.
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Fendrick: Embrace of VBID Even More Crucial Amid Equity Conversations, Braidwood Ruling
May 24th 2023Kicking off the 2023 Greater Philadelphia Business Coalition on Health annual conference, Mark Fendrick, MD, of the University of Michigan, delivered a keynote exhorting the audience of employers and payers to implement the principles of value-based insurance design (VBID) in order to improve individual and population health and drive toward equity.
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