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Value-Based Insurance Design Landscape Digest

Value-Based Insurance Design Landscape Digest

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The "Value-Based Insurance Design Landscape Digest” defines the concept of value-based insurance design (VBID), outlines key objectives, design features and potential barriers to implementation, and describes evaluation tools for measuring the outcomes of VBID programs. The report also highlights how companies like Caterpillar, Inc., Hannaford Brothers Company, and UnitedHealthcare, among others, have adopted VBID programs and reviews the clinical and economic implications of VBID.”
The "Value-Based Insurance Design Landscape Digest” defines the concept of value-based insurance design (VBID), outlines key objectives, design features and potential barriers to implementation, and describes evaluation tools for measuring the outcomes of VBID programs. The report also highlights how companies like Caterpillar, Inc., Hannaford Brothers Company, and UnitedHealthcare, among others, have adopted VBID programs and reviews the clinical and economic implications of VBID.”

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Published by: National Pharmaceutical Council on Aug 24, 2009
Copyright:Traditional Copyright: All rights reserved

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11/15/2013

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Value-Based Insurance Design
Landscape Digest

A. Mark Fendrick, M.D.
Professor, Internal Medicine and Health Management and Policy
Co-Director, Center for Value-Based Insurance Design
University of Michigan

J\ue004ly 2009
VBID
Center for Value-Based Insurance Design
Author:
A. Mark Fendrick, M.D.

P\ue002\ue001fess\ue001\ue002, In\ue003e\ue002nal Medicine and heal\ue003\ue000 Managemen\ue003 and P\ue001licy
C\ue001-Di\ue002ec\ue003\ue001\ue002, Cen\ue003e\ue002 f\ue001\ue002 Val\ue004e-Based Ins\ue004\ue002ance Design
unive\ue002si\ue003y \ue001f Mic\ue000igan

CoNtrIButING Author:
Mari L. Edlin
F\ue002eelance heal\ue003\ue000 Ca\ue002e W\ue002i\ue003e\ue002/J\ue001\ue004\ue002nalis\ue003
S\ue001n\ue001ma, Calif\ue001\ue002nia

Acknowledgments: The authors would like to acknowledge Diana Enyedi, Andrea Ho\ue000elich, Sallie Lyons, Gary Persinger, Sabrina Siddiqui, Jefrey Warren, and Kimberly Westrich \ue000or their thought\ue000ul contributions to this report. The authors also thank Peter Sonnenreich \ue000or his expertise.

Funded and published by the National Pharmaceutical Council. Copyright 2009.
For copies o\ue000 this report, please contact the National Pharmaceutical Council at 703-620-6390 or visit www.npcnow.org.
Table o\ue000 ConTenTs

2 Bridging the Divide Between Quality Improvement and Cost Containment
3 The Role o\ue001 Cost Sharing in Health Insurance
4 Value-Based Insurance Design: \u201cClinically Sensitive, Fiscally Responsible\u201d Cost Sharing
6 Objectives o\ue001 VBID
7 Approaches to VBID
8 Financial Impact o\ue001 VBID

9 VBID Experience
10 Potential Barriers to VBID
12 VBID Case Studies
12 WellPoint, Inc.
13 Caterpillar, Inc.

14 Service Employees International Union Health Care Access Trust
15 Mid-America Coalition on Health Care
16 Health Alliance Medical Plans, Inc.
17 Hanna\ue001ord Brothers Company
18 City o\ue001 Spring\ue000eld, Oregon
19 Midwest Business Group on Health

20 UnitedHealthcare

21 Evidence-Based VBID Program Evaluation
22 Measuring the Efects o\ue001 VBID Programs
23 Models \ue001or Employers
24 Aligning Incentives: The Efect o\ue001 VBID
25 Ways to Meet Cost Targets

26 Evaluating ROI
27 Establishing a Synergy with Ongoing Health Care Re\ue001orm
30 VBID in a Trans\ue001ormed Health Care System
31 Re\ue001erences

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