publications

• V-BID Center Publications
• V-BID Center Briefs
• Other V-BID Publications
• Ongoing Research

Featured Publication

• V-BID referred to as a "game-changer"
  In their plan for health and fiscal policy, the National Coalition on Health Care (NCHC) refers to V-BID as a "game changer" that could address fiscal challenges and transform health system incentives.
  

• "2011 V-BID Center Symposium: The State of Value-Based Insurance Design." Supplement to The American Journal of Managed Care, March 2012.
• November 2010 issue of Health Affairs special issue devoted to the concept of value-based insurance design.
• Choudhry NK, Avorn J, Glynn RJ, Antman EN, Schneeweiss S, Toscano M, Reisman L, Fernandes J, Spettell C, Lee JL, Levin R, Brennan T, Shrank WH. "Full Coverage for Preventive Medications after Myocardial Infarction," N Engl J Med 2011; 365:2088-2097, December, 2011.
• Shah ND, Naessens JM, Wood DL, Stroebel RJ, Litchy W, Wagie A, Fan J, Nesse R. " Mayo Clinic Employees Responded to New Requirements for Cost Sharing by Reducing Possibly Unneeded Health Services Use," Health Affairs. 30:11, November 2011.
• Buttorff C, Tunis S, Weiner J. Improving Value and Investing in Prevention:
  Encouraging Value-Based Insurance Designs in State Health Insurance Exchanges. A white paper prepared for the Executive Board of
  Maryland's Health Benefit Exchange.
• Goldman L, Epstein AM. Improving Adherence — Money Isn't the Only Thing. The New England Journal of Medicine. November 14, 2011.
• Nilay SD, Naessens JM, Wood DL, Stroebel RJ, Litchy W, Wagie A, Fan J, Nesse R. Mayo Clinic Employees Responded To New Requirements For Cost Sharing By Reducing Possibly Unneeded Health Services Use. Health Affairs. November 2011. Vol 30 no. 11;2134-2141.
• Kim YA, Loucks A, Yokoyama G, Lightwood J, Rascati K, Serxner SA. Evaluation of value-based insurance design with a large retail employer.
• Baicker K, Chandra A. Aspirin, Angioplasty, and Proton Beam Therapy: The Economics of Smarter Health Care Spending. August 8, 2011.
• Blustein J, Weissman JS, Ryan AM, Doran T, Hasnain-Wynia R.
  Analysis Raises Questions On Whether Pay-For-Performance In Medicaid Can Efficiently Reduce Racial And Ethnic Disparities Health Affairs, 30, no.6 (2011):1165-1175.

• Kelly AM, Cronin P. Value-based Insurance Design Barriers to Implementation in Radiology. Acad Radiol. June 14, 2011.

• Kaestber R, Silber JH. Evidence on the Efficacy of Inpatient Spending on Medicare Patients. The Milbank Quarterly, June 2011. Volume 88, Number 4, 2010.

• Hadley J, Waidmann T, Zuckerman S, and Berenson RA. Medical Spending and the Health of the Elderly. Health Services Research. DOI: 10.1111/j.1475-6773.2011.01276.x

• Pittman DG, Chen W, Bowlin SJ, Foody JM. Adherence to Statins, Subsequent Healthcare Costs, and Cardiovascular Hospitalizations. Am J Cardiol 2011;107:1662–1666.

• Bernard D, Farr S, Fang Z. National Estimates of Out-of-Pocket Health Care Expenditure Burdens Among Nonelderly Adults With Cancer: 2001 to 2008. Journal of Clinical Oncology, May 2011.

• Grenard JL, Munjas BA, Adams JL, Suttorp M, Maglione M, McGlynn EA, Gellad WF. Depression and Medication Adherence in the Treatment of Chronic Diseases in the United States: A Meta-Analysis. J Gen Intern Med, May 2011.

• American Academy of Actuaries Issue Brief. An Actuarial Perspective on Proposals to Improve Medicare's Financial Condition.
• Husain N, Johnsrud M, Schwartzberg L, Streeter SB. Patient and Plan Characteristics Affecting Abandonment of Oral Oncolytic Prescriptions. Am J Manag Care. May 2011;17, Special Issue:SP38-SP44. (PDF)
• Collins SR, Robertson R. Realizing Health Reform's Potential
  Women at Risk: Why Increasing Numbers of Women Are Failing to Get the Health Care They Need and How the Affordable Care Act Will Help. The Commonwealth Fund, May 2011;pub.1502 Vol. 3. (PDF)
• Wagner RB. The Search for Value: Value-Based Insurance Design in Both Public and Private Sectors. Compensation & Benefits Review published online 13 April 2011. DOI: 10.1177/0886368711404657. (PDF)
• Cubanski J, Damico A, Dawson L, Huang J, Neuman T. “Health Care on a Budget: An analysis of Spending by Medicare Households,” Kaiser Family Foundation Data Spotlight. April 2011.

• “How Much “Skin in the Game” is Enough? The Financial Burden of Health Spending for People on Medicare,” Kaiser Family Foundation Data Spotlight. April 2011.

• Dunlay SM, Eveleth JM, Shah ND, McNallan SM, Roger VL, "Medication Adherence Among Community-Dwelling Patients
  With Heart Failure" Mayo Clinic Proceedings April 2011 vol. 86 no. 4 273-281.

• Brown MT, Bussell JK, "Medication Adherence: WHO Cares?" Mayo Clinic Proceedings April 2011 vol. 86 no. 4 304-314.

• Beeuwkes Buntin M, Haviland A, McDevitt R, Sood N. Healthcare Spending and Preventive Care in High-Deductible and Consumer-Directed Health Plans. Am J Manag Care. March 2011;17(3):222-230. (PDF)
• Enhancing Use of Clinical Preventive Services Among Older Adults: Closing the Gap. (PDF)
• Schilling B. Advancing Quality Through Employer-Led Initiatives. The Commonwealth Fund, February/March 2011 Quality Matters Newsletter.

• Fairman K, Curtiss F. What Do We Really Know About VBID? Quality of the Evidence and Ethical Considerations for Health Plan Sponsors. Journal of Managed Care Pharmacy, March 2011. Vol. 17, No. 2. (PDF)

• Clark CR, Soukup J, Govindarajulu U, Riden H, Tovar D, Johnson P. Lack Of Access Due To Costs Remains A Problem For Some In Massachusetts Despite The State’s Health Reforms. Health Affairs, February 2011. Vol. 30 No. 2; 247-255.

• Rosenthal M, Toward a Shared Vision of Payment Reform. The Commonwealth Fund, February 15, 2011.

• Quincy L, Making Health Insurance Cost-Sharing Clear to Consumers: Challenges in Implementing Health Reform’s Insurance Disclosure Requirements, The Commonwealth Fund, Feb. 2011.

• Eldridge G, Korda H. Value-Based Insurance Design: What Do We Know About What Works? Altarum Institute, January 2011.
• Ungar W, Paterson M, Gomes T, Bikangaga P, Gold M, To T, Kozyrskyj A. Relationship of asthma management, socioeconomic status, and medication insurance characteristics to exacerbation frequency in children with asthma. Ann Allergy Asthma Immunol. Jan 2011;106:17–23.
• Bazemore A, Kamerow D, Krist A, Lesser L. Comparison Between US Preventive Services Task Force Recommendations and Medicare Coverage. Ann. Fam. Med, January 1, 2011; 9(1): 2 - 2.
  
• Brown C, Doyle J, Frech-Tamas F, Gibson TB, Kelly E, Mauceri E, Turner C, Wang S. A Value-Based Insurance Design Program At A Large Company Boosted Medication Adherence For Employees With Chronic Illnesses. Health Affairs, January 2011. 30:1; 109-117.
• Brennan TA, Liberman JN, Roebuck MC, Gemmill-Toyama M. Medication Adherence Leads To Lower Health Care Use And Costs Despite Increased Drug Spending. Health Affairs, January 2011. 30:1; 91-99.
• Gibson TB, Mahoney J, Ranghell K, Cherney BJ, McElwee N. Value-Based Insurance Plus Disease Management Increased Medication Use and Produced Savings. Health Affairs, January 6, 2011. 30:1; 100-108.
• Goodell S, Swartz K. Cost-sharing: Effects on spending and outcomes. Robert Wood Johnson Foundation. Policy Brief NO. 20, December 2010.
• Health Affairs, Robert Wood Johnson Foundation. Health Policy Brief: Preventive Services Without Cost Sharing. New private health plans must pay for screenings and other preventive services. Will the benefits outweigh the costs? December 28, 2010.
• Nayer C. Outcomes-Based Contracting™: The Value-Based Framework
  for Optimal Accountability. Center for Health Value Innovation, 2010. (PDF)
• Kullgren JT, Galbraith AA, Hinrichsen VL, Miroshnik I, Penfold RB, Rosenthal MB, Landon BE, Lieu TA. Health Care Use and Decision Making Among Lower-Income Families in High-Deductible Health Plans. Arch Intern Med. Nov. 2010; 170(21):1918-1925. (PDF)

• Grann, V.H. “High-Deductible Plans: What If You Can’t Afford Your Share?”  Invited Commentary. Arch Intern Med  170(21).  Nov. 22, 2010. (PDF)

• Schoen C, Osborn R, Squires D, Doty MM, Pierson R, and Applebaum S. How Health Insurance Design Affects Access To Care And Costs, By Income, In Eleven Countries. Health Affairs Web First, November 18, 2010.

• Brookings Institution, Engelberg Center for Health Care Reform. 2010. Bending the Curve Through Health Reform Implementation. Brookings: Washington, DC. (PDF)

• Davis K, Guterman S, Stremikis K. Health Care Opinion Leaders'
  Views on Transparency and Pricing. The Commonwealth Fund, October 2010. 1451(102). (PDF)
• Polinski JM, Kilabuk E, Schneeweiss S, Brennan T, Shrank WH. Changes in drug use and out-of-pocket costs associated with Medicare Part D implementation: a systematic review. J Am Geriatr Soc. 2010 Sep;58(9):1764-79.
• Mott DA, Thorpe JM, Thorpe CT, Kreling DH, Gadkari AS. Effects of Medicare Part D on drug affordability and use: Are seniors with prior high out-of-pocket drug spending affected more? Res Social Adm Pharm. 2010 Jun;6(2):90-9.
• Goedken AM, Urmie JM, Farris KB, Doucette WR. Impact of cost sharing on prescription drugs used by Medicare beneficiaries. Res Social Adm Pharm. 2010 Jun;6(2):100-9.
  
• Auerbach HR, Cohen JT, Greenberg D, Neumann PJ. Low-Value Services in Value-Based Insurance Design. The American Journal of Managed Care, April 2010. Vol. 16 No. 4; 280-286. (PDF)
• Braithwaite RS, Omokaro C, Justice AC, Nucifora K, Roberts MS. Can Broader Diffusion of Value-Based Insurance Design
  Increase Benefits from US Health Care without Increasing Costs? Evidence from a Computer Simulation Model. PLOS Medicine, February 2010. 7:2. (PDF)
• Braithwaite RS, US health reform and value: hit or miss? Expert Rev. Pharmacoeconomics Outcomes Res. 10(5), 477–480 (2010). (PDF)
• Encinosa W, Value-Based Insurance Design in Medicare. Appl Health Econ Health Policy 2009; 7(3):149-154. (PDF)
• Zivin K, Madden JM, Graves AJ, Zhang F, Soumerai SB. Cost-related medication nonadherence among beneficiaries with depression following Medicare Part D. Am J Geriatr Psychiatry. 2009 Dec;17(12):1068-76.
• Gross R. BC/BS Of Massachusetts Rolls Out Value-Based Option. HealthLeaders-InterStudy’s. New England Health Plan Analysis, Fall 2009, Vol. 8 No. 4: October 2009. (PDF)
• Center for Health Value Innovation. Value-Based Design in Action, How Five Public Sector Employers are Managing Cost and Improving Health Using Value-Based Design. August 2009. (PDF)
• Sipkoff M. Value-Based Insurance Design. Spend a Little More On Selected Patients For Payoff Down the Line. Managed Care, August 2009; 20-30.
• Millett C, Everett CJ, Matheson EM, Bindman AB, Mainous AG 3rd. Impact of Medicare Part D on seniors' out-of-pocket expenditures on medications. Arch Intern Med. 2010 Aug 9;170(15):1325-30.
• Hunt J, Rozenfeld Y, Shenolikar R. Effect of Patient Medication Cost Share On Adherence and Glycemic Control. Higher Cost Sharing decreases adherence to oral diabetes drugs and worsens glucose levels. Managed Care, July 2009; 47-54. (PDF)
• Porter ME. A Strategy for Health Care Reform — Toward a Value-Based System. The New England Journal of Medicine. July 9, 2009. (PDF)
• American Academy of Actuaries Issues Brief.   Value Based Insurance Design.  June 2009. (PDF)
• Buyers Health Care Action Group. Community Dialogue on Value-Based Benefit Design. March 3, 2009. (PDF)
• Nayer C, Taylor ML, Kritzler R, Mahoney J, Zastrow R.  Co-Pay Incentives: Medicare Advantage (Part D) Can Replicate Successes of Commercial Payers. March 2009. (PDF)
• Institute of Medicine, Roundtable on Evidence- Based Medicine. "Value in Healthcare: Accounting for Cost, Quality, Safety, Outcomes and Innovation". March 2009. (PDF)
• Murphy L, Carloss J, Brown RE, Heaton E, Carino T, Chernew ME, Fendrick AM, Rosen AB. Value-Based Insurance Design in the Medicare Prescription Drug Benefit / An Analysis of Policy Options. March 2009. (PDF)
• Houy M. Value-Based Benefit Design: A Purchaser Guide. National Business Coalition on Health. January 2009. (PDF)
• Fitch K, Iwasaki K, Pyenson B. Value-Based Insurance Designs for Diabetes Drug Therapy: Actuarial and Implementation Considerations. Milliman Client Report. December 2008. (PDF)
• Midwest Business Group on Health. Focus Group Research. Employees' Readiness to Adopt Value-Based Benefit Design Strategies. November 2008. (PDF)
• Madden JM, Graves AJ, Zhang F, Adams AS, Briesacher BA, Ross-Degnan D, Gurwitz JH, Pierre-Jacques M, Safran DG, Adler GS, Soumerai SB. Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part D. JAMA. 2008 Apr 23;299(16):1922-8.
• David A. Wells, MSc; Joseph S. Ross, MD, MHS; Allan S. Detsky, MD, PhD. What Is Different About the Market for Health Care? JAMA. 2007;298(23):2785-2787 (PDF)
• Goldman DP, Joyce GF, Zheng Y. Prescription Drug Cost Sharing. JAMA, July 4, 2007; 298, No. 1; 61-27 (PDF)

• Denny CC, Emanuel EJ, and Pearson SD. Why Well-Insured Patients Should Demand Value-Based Insurance Benefits. JAMA, June 13, 2007; 297, No. 22; 2515-2518(PDF)
• Jinnett K, Lu Y, Parry T. A Broader Reach for Pharmacy Plan Design. Research by the Integrated Benefits Institute. May 2007. (PDF)

• Miller W (2006). “Value-Based Coverage Policy in the United States and the United Kingdom: Different Paths to a Common Goal.” National Health Policy Forum, Background Paper. November 29, 2006. (PDF)

• Ellis JJ et al. Suboptimal Stain Adherence and Discontinuation in Primary and Secondary Prevention Populations. J Gen Intern Med. 2004; 19:638-645. (PDF)

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