Health services research, 2012-02, Vol.47 (1pt2), p.404-413
2012
Details
- Autor(en) / Beteiligte
- Titel
- Value-Based Insurance Design: More Health at Any Price
- Ist Teil von
- Health services research, 2012-02, Vol.47 (1pt2), p.404-413
- Ort / Verlag
- United States: Blackwell Publishing Ltd
- Erscheinungsjahr
- 2012
- Link zum Volltext
- Quelle
- Applied Social Sciences Index & Abstracts (ASSIA)
- Beschreibungen/Notizen
- When everyone is required to pay the same out‐of‐pocket amount for health care services regardless of clinical indication, there is evidence of underuse of high‐value services and overuse of interventions of no or marginal clinical benefit. Unlike most current health plan designs, value‐based insurance design (V‐BID) acknowledges heterogeneity of clinical interventions and patient characteristics. It encourages the use of services with strong evidence of clinical benefit and likewise discourages the use of low‐value services. Implementing this concept into the national policy debate required a strategy that included conceptual framework development, program implementation, rigorous evaluation, media outreach, and an advocacy plan. Upon completion of this strategy involving several colleagues from multiple disciplines, Congress included language specifically authorizing V‐BID in the Patient Protection and Affordable Care Act. A wide‐ranging approach, planned as early as possible, can lead to the successful translation of health services research to policy.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0017-9124eISSN: 1475-6773DOI: 10.1111/j.1475-6773.2011.01358.xTitel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3393011
- Format
- –
- Schlagworte
- Administrative agencies, Advocacy, Cancer, Cancer treatment, Care and treatment, Chronic Disease, clinical practice patterns/guidelines/resource use/evidence-based practice, Company financing, Cost Sharing, Disease Management, Economic theory, Finance, Government agencies, Health care expenditures, health care financing/insurance/premiums, Health care industry, Health care organizations and systems, Health care policy, Health economics, Health insurance, Health Policy, health policy/politics/law/regulation, Health services, Health Services - economics, Health Services Research, Heterogeneity, Humans, incentives in health care, Insurance, Health - economics, Insurance, Health - organization & administration, Interventions, Patient Protection & Affordable Care Act 2010-US, Patient Protection and Affordable Care Act - economics, Patient Protection and Affordable Care Act - legislation & jurisprudence, Personal expenditure, Politics, Primary Prevention - economics, Special Issue: Bridging the Gap Between Research and Health Policy-Insights from Robert Wood Johnson Foundation Clinical Scholars Program, Studies, Underuse, United States