The Facts
Costs from poor medication adherence are estimated to exceed $100 billion annually.
- V-BID Center Responds to Federal Request for Information on Prescription Medication Adherence
The Center shared evidence supporting the use of V-BID to improve medication adherence, showing that clinically nuanced reductions in cost-sharing will yield better outcomes for patients and greater value for payers.
> Read the Center's Comment Letter
- V-BID Center Comments on Exchange Actuarial value and Cost-Sharing Reductions Bulletin
The bulletin specficially recognized, "the need to accommodate innovative plan design features that are meaningful to consumers, such as Value-Based Insurance Designs that vary the copayment or coinsurance for items and services based on expected value" in the actuarial values calculator that was proposed.
> Read the Center's Comments
US House of Representatives Committee on Ways and Means
Lewis Sandy, MD, Senior Vice President for Clinical Advancement, UnitedHealth Group, and V-BID Center Advisory Board Member, testified at the US House of Representatives Committee on Ways and Means on February 7. Dr. Sandy emphasized that it is important for stakeholders to work together to implement integrated and comprehensive performance measurement programs - including V-BID.
> Read Dr. Sandy's Testimony
US Senate Committee on Health, Education, Labor, & Pensions
On November 10, 2011 V-BID Center's Fendrick testified at the US Senate Committee on Health, Education, Labor, & Pensions Hearing: "Improving Quality, Lowering Costs: The Role of Health Care Delivery System Reform".
> Hearing Information
> Read Dr. Fendrick's Testimony
> Read Summary of Testimony
Essential Benefits
On October 6, 2011 the Institute of Medicine released its long-awaited report on Essential Health Benefits, and we are pleased to share some highlights of the report that underline the need for and utility of value-based design. The recommendations and frameworks in the report will serve as the main source of guidance for the Department of Health and Human Services as it develops an essential health benefits package as required under the Patient Protection and Affordable Care Act.
> Read about V-BID in the Essential Health Benefits report
> Read the full IOM report
> Read UM Press Release
President Obama Sites V-BID as Method for Improving Medicare for a Second Time
On September 19, President Obama outlined an economic growth and deficit reduction plan which includes reforms for Medicare using V-BID. The plan is the second such call for V-BID, after an April statement on deficit reduction and Medicare reform which also cited value-based designs.
> Fact sheet for the President's plan
> The National Review
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V-BID Center Comments on two Affordable Care Act (ACA) Regulations
September 30--The V-BID Center submitted two letters to the Department of Health and Human Services commenting on draft regulations for the ACA. The first regulation implements recommendations from the Institute of Medicine regarding preventive services for women. The second regulation lays out some of the basic structures of the state health insurance Exchanges which are being rolled out in many states across the country.
> Read comments on preventive services for women
> Read comments on exchange governance
MedPAC Report to Congress, June 2011
The Medicare Payment Advisory Commission (MedPAC) report to Congress once again highlighted Value-Based Insurance Design as a promising policy for steering Medicare beneficiaries toward high-value care. MedPAC also highlighted V-BID in its 2010 report.
> Read Full Report
> Read V-BID Excerpt
National Prevention Strategy cites V-BID
The report was called for under the Affordable Care Act and sets the agenda for prevention efforts across the government and the nation. It cites Section 2713 of the ACA and innovative health benefit designs as effective tools for delivering more preventive care to Americans.
> Full Report
> Center Comments on draft report
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V-BID in Connecticut State Employee Agreement
Gov. Malloy and unions representing state employees have agreed upon a labor contract that includes targeted health savings driven by V-BID.
> Read More
- President Obama's Deficit Reduction Plan Includes
V-BID to Improve Medicare
President Obama’s reference to V-BID (or value-based benefit design) further demonstrates government commitment to using V-BID to improve health care delivery.
> Read More
HHS REPORT TO CONGRESS:
V-BID included in National Strategy for Quality Improvement in Health Care.
> Read HHS Release
> Read Report
On December 28, 2010, the Departments of Labor, Health and Human Services, and Treasury issued a Request for Information on V-BID and preventive care, further signifying its importance in health reform. The Center issued our response on February 28, 2011.
> View Center's Response and Other RFI Resources
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V-BID in Health Reform Law
The final version of the Patient Protection and Affordable Care Act included language to permit the use of V-BID in health plan designs.
View a summary of the stages of health reform legislation and V-BID language at every major step.
Comments on TRICARE preventive services
The V-BID Center submitted comments to Secretary of Defense Robert Gates on the Interim Final Rule for Elimination of Copayments for Authorized Preventive Services for Certain TRICARE Beneficiaries.
The Center supports the elimination of co-pays for selected evidence-based primary preventive services and calls for further elimination of co-pays for secondary prevention. The benefits of this value-based approach will be enhanced by committing to a sustained effort and educating beneficiaries on low-cost preventive services.
V-BID Center Comments on Rules Implementing Health Reform, September 17, 2010
The V-BID Center submitted comments to the Department of Health and Human Services (HHS) concerning a new regulation on preventive care that includes the V-BID concept. The rule implements part of the new health reform law (the Patient Protection and Affordable Care Act).
The comments strongly endorse the design of the preventive care benefit outlined by HHS, which embodies the concept of V-BID by using clinical evidence to match populations with recommended medical care. The letter also expresses a hope that V-BID will be applied beyond primary prevention to secondary prevention, where it has been demonstrated to enhance health and contain costs.
> View Interim Final Rule (IFR)
MedPAC Report to Congress, June 2010
Medicare Payment Advisory Commission (MedPAC) Report to the Congress Highlights Value-Based Insurance Design.
Read the briefing and slides from MedPAC’s October 7, 2010 panel on identifying high- and low-value services.
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V-BID in Patient Protection and Affordable Care Act, April, 2010
Section 2713 (c) of the new law allows the Secretary of Health and Human Services to develop guidelines to permit health plans to use the concepts of value-based insurance design in providing coverage.
> Press Release
> Video
The Seniors' Medication Copayment Reduction Act of 2009, the first V-BID demonstration bill, was introduced by Senator Debbie Stabenow and Senator Kay Bailey Hutchison. It would establish a demonstration program to test V-BID methodologies for Medicare beneficiaries with chronic conditions.
> View Bill
