The Facts
Benefit design should consider reversing the trend of increases in patient copayments for services considered to be indicators of high quality care.
Higher co-payments increase chance of early discontinuation of breast cancer therapy.
A higher prescription co-payment, especially among older women, is associated with both early discontinuation and incomplete use of adjuvant aromatase inhibitor therapy, a life-saving therapy for women with hormone sensitive early stage breast cancer.
Columbia University, Mailman School of Public Health, December 14, 2010. Higher co-payments increase chance of early discontinuation of breast cancer therapy.
V-BID success: MA lowered barriers to smoking cessation = better health and cost savings.
When Massachusetts started paying for stop-smoking treatments, people not only kicked the habit but also had fewer heart attacks, researchers reported on Tuesday in the first study to show a clear payoff from investing in smoking prevention efforts.
Reuters, December 7, 2010. When the state paid, people stopped smoking: study.
Margaret O'Kane, President of the National Committee for Quality Assurance on V-BID.
FierceHealthcare, December 6, 2010. Quality initiatives offer alternative to 'meat-ax' cost-cutting approach.
Lowering or eliminating co-pays boosts medication adherence.
Eliminating a patient's prescription co-pay can boost chances that the patient will follow doctor's orders and keep taking the drug, according to research in the November issue of Health Affairs.
Protecting Yourself From the Cost of Type 2 Diabetes.ONE in 10 Americans has diabetes, and if present trends continue, one in three will suffer from the disease by the year 2050, according to the Centers for Disease Control and Prevention. Already this incurable, chronic and often debilitating illness costs the country’s health care system a staggering $174 billion a year.
Healthcare IT crucial to value-based insurance design.
Robust healthcare IT systems able to specifically classify treatments based on an individual patient’s profile are vital for payers in order to properly manage value-based benefits according to Mark Fendrick, co-director of the Center for Value-Based Insurance Design, and other industry experts – representing health plans, government and service providers – all speaking Monday at the AHIP Fall Forum.
Healthcare IT News, November 9, 2010. Healthcare IT crucial to value-based insurance design.
Benefit design should consider reversing the trend of increases in patient copayments for services considered to be indicators of high quality care.
"The goal of the health care system is to improve health, not save money.”
- Michael E. Chernew
Center for V-BID