V-BID for Diagnostics, Devices, and Procedures
This project outlines the potential implementation of clinical nuance in medical technologies. A collaboration between the V-BID Center and InHealth Institute for Health Technology Studies.
Conclusion: Probing the Public's View on V-BID
Continued findings on the general public's perception of
V-BID. A collaboration between the V-BID Center, the Center for Healthcare Decisions, and Integrated Health Partners. Funded by the Robert Wood Johnson Foundation.
Introduction: Probing the Public's View on V-BID
A collaboration between the V-BID Center, the Center for Healthcare Decisions, and Integrated Health Partners on the general public's perception of V-BID. Funded by the Robert Wood Johnson Foundation.
Communicating Value-Based Benefits: Employee Research Project Results
A project of the Midwest Business Group on Health, the University of Michigan Center for Value-Based Insurance Design and Buck Consultants.
Synergies at Work: Realizing the Full Value of Health Investments.
This study, a joint effort with IBI and NPC, emphasizes the importance of measuring the full impacts of health investment for employers, including productivity improvements.
Fendrick AM, Jinnett K, Parry T. Synergies at Work: Realizing the Full Value of Health Investments. National Pharmaceutical Council, February 2011.
Value-Based Insurance Design for Diabetes Mellitus:
Approaches to Optimal Pharmacoeconomic Implementation
In this chapter, based on a roundtable presentation by A. Mark Fendrick, MD, the evidence of V-BID in diabetes is presented along with next steps and research questions for enhancing the impact of V-BID in diabetes.
Value-Based Insurance Design for Diabetes Mellitus: Approaches to Optimal Pharmacoeconomic Implementation. Am J Manag Care, December 2010. S314-S322.
Applying Value-Based Insurance Design To Low-Value Health Services
This paper argues that investments in processes to define low-value care, comparative effectiveness research to identify services that produce harm or marginal clinical benefit, and information technology to implement findings can facilitate applying value-based insurance design to the low-value realm.
Fendrick AM, Smith DG, Chernew ME (2010). Applying Value-Based Insurance Design To Low-Value Health Services Health Affairs, 29(11), 2017-2021.
- Evidence That Value-Based Insurance Can Be Effective
Health Affairs: This program evaluation suggests that value-based insurance design programs do not increase total systemwide medical spending.
Chernew ME, Juster IA, Shah MR, Wegh A, Rosenberg SN Rosen AB, Sokol MC, Yu-Isenberg K, Fendrick AM. Evidence that Value-based Insurance Can Be Effective. Health Affairs, Web Exclusive. January 2010.
Impact Of Decreasing Copayments On Medication Adherence Within A Disease Management Environment
Value-based cost sharing can increase pateints’ adherence to important medications.
Chernew ME, Shah MR, Wegh A, Rosenberg SN,Juster IA, Rosen AB, Sokol MC, Yu-Isenberg K, Fendrick AM. Impact Of Decreasing Copayments On Medication Adherence Within A Disease Management Environment. Health Affairs, 2008: 27; 103-112.
- Value-Based Insurance Design: Embracing Value Over Cost Alone
Value-based insurance design can help plug the inherent shortfalls in “across the board” patient cost-sharing. Mounting evidence indicates that V-BID is both feasible and leads to desired changes in behavior.
Fendrick AM, Chernew M, Levi G: Value-Based Insurance Design: Embracing Value Over Cost Alone. The American Journal of Managed Care, December 2009. Vol. 15 No. 10; S277 - S283.
A Benefit-Based Copay for Prescription Drugs: Patient Contribution Based on Total Benefits, Not Drug Acquisition Cost
This 2001 article by V-BID Center faculty first introduced the concept of V-BID.
Fendrick AM, Smith DG, Chernew ME, Shah SN. A benefit-based copay for prescription drugs: patient contribution based on total benefits, not drug acquisition cost. Am J Manag Care. 2001; 7:861-867.
Maintaining a Focus on Health in an Era of Cost Containment
This 2-pager provides an overview of the VBID premise that patient cost sharing should more explicitly encourage
patients to use high value services and avoid low value services.
Fendrick AM, Chernew ME. Value Based Insurance Design: Maintaining a Focus on Health in an Era of Cost Containment. Am J Manag Care. June 2009;15(6).
- Value-Based Insurance Design
By abandoning the archaic principle that all services must cost the same for all patients, we can move to a high-value health system.
When everyone is required to pay the same out-of-pocket amount for health care services whose benefits depend on patient characteristics, there is enormous potential for both under- and overuse. Unlike most current health plan designs, Value-Based Insurance Design (VBID) explicitly acknowledges and responds to patient heterogeneity. It encourages the use of services when the clinical benefits exceed the cost and likewise discourages the use of services when the benefits do not justify the cost.
Chernew, ME, Rosen, AB and Fendrick, AM. Value-Based Insurance Design: By abandoning the archaic principle that all services must cost the same for all patients, we can move to a high-value health system. Health Aff. published 30 January 2007, 10.1377/hlthaff.26.2.w195
Learning What Works Best: The Nation's Need for Evidence on Comparative Effectiveness in Health Care.
This paper commissioned by the Institute of Medicine examines the potential for Comparative Effectiveness Research (CER) to enhance the efficiency of the health care system.
Chernew, ME, Fendrick, AM. The Business Case for Comparative Effectiveness Research. "Learning What Works Best. The Nation's Need for Evidence on Comparative Effectiveness in Health Care." Institute of Medicine. March, 2007. Appendix Seven: 1-13.
- Value-Based Insurance Design Landscape Digest
This Apex-award-winning report provides a thorough overview of V-BID principles and examples and is our most popular download.
Fendrick AM. Value-Based Insurance Design Landscape Digest. National Pharmaceutical Council. July 2009.
- Aligning Incentives and Systems: Promoting Synergy Between Value-Based Insurance Design and the Patient Centered Medical Home
V-BID and the patient centered medical home (PCMH) are found to be complementary, and aligning the two improves continuity and quality of care.
Fendrick AM, Sherman B, White D. White Paper. Aligning Incentives and Systems, Promoting Synergy Between Value-Based Insurance Design and the Patient Centered Medical Home. Patient-Centered Primary Care Collaborative. March 2010.
- Restoring Health To The Health Care Cost Debate
In response to the adverse effects of ‘one size fits all’ cost shifting, value-based insurance design bases co-payments on the relative value of a clinical intervention to mitigate adverse health consequences of high out-of-pocket expenditures.
Chernew ME, Fendrick AM. Value Based Insurance Design: Restoring Health To The Health Care Cost Debate. American Society of Actuaries, "Visions for the Future of the U.S. Health Care System". June 2009.