The Facts
Costs from poor medication adherence are estimated to exceed $100 billion annually.
Legislative activity
Section 2713 of the Affordable Care Act implements value-based insurance design by giving patients access to primary preventive services recommended by the United States Preventive Services Task Force. The Administration has issued an interim final rule (IFR) implementing Section 2713, as well as a request for information (RFI) exploring the concept of value-based insurance design in federal policy. The 2011 National Prevention Strategy also cited Section 2713 and innovative health benefit designs as effective tools for delivering more preventive care to Americans.
V-BID Center Participation
On September 17, 2010, the V-BID Center submitted comments to the Department of Health and Human Services (HHS) responding to the IFR on preventive care. 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.
> Read Center Comments
An amendment to the IFR was issued on August 3, 2011, extending coverage without cost-sharing to certain women’s primary preventive services, based on recommendations from the Institute of Medicine. The V-BID Center will submit comments to HHS and the Departments of Labor and Treasury by the September 30, 2011 deadline. Please be in touch if you’d like to discuss this further at vbidcenter@umich.edu or 734-615-9635.
> Read IFR August 3 Amendment
On December 28, 2010, the Departments of Labor, Health and Human Services, and Treasury issued a Request for Information (RFI) on V-BID and preventive care, further signifying its importance in health reform. This request sought detailed information on V-BID programs in relation to the current health reform legislation addressing V-BID and preventive care (Section 2713).
The Center issued its response to the RFI on February 28, 2011. This response reflects a collaborative effort of the Center together with a wide range of stakeholders who contributed feedback and examples of information crucial to shaping Federal Departments' perspective on V-BID implementation.
> Cover letter of Center's Response
> Center's Response: Questions and Answers
> Selected Quotes of Support in Responses
Publications:
Enhancing Use of Clinical Preventive Services Among Older Adults: Closing the Gap
Media:
National Underwriter Life and Health Insurance News
