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So far Vbidcenter has created 114 blog entries.

BREAKING NEWS: Thune-Stabenow Bill to Establish V-BID Demonstration in Medicare Advantage 

WASHINGTON, D.C. – U.S. Sens. John Thune (R-S.D.) and Debbie Stabenow (D-Mich.) today reintroduced bipartisan legislation that would establish a Medicare Advantage (MA) demonstration program to evaluate how value-based insurance design (V-BID) could reduce MA enrollees’ copayments and coinsurance for some beneficiaries with specific chronic conditions for certain high-value medications and services resulting in better health outcomes and reduced overall health spending. “We recognize that it’s a challenge to find policy solutions that achieve cost savings while at the same time improving patients’ health outcomes,” said Thune. “With V-BID, a promising health insurance concept, both patients and taxpayers win, proving that if money can be spent in a more targeted, effective way, it’s also possible to improve the value of care delivered.” “This legislation is a win-win,” said Stabenow. “It tests a new innovative model that lowers costs to Medicare patients for prescription drugs and services that provide [...]

Vbidcenter2019-10-30T18:16:56+05:00May 21st, 2015|News, Press Releases|

Beyond SGR: Aligning Payment Reform with Consumer Engagement

Health Affairs Blog Post:  "Beyond SGR: Aligning The Peanut Butter Of Payment Reform With The Jelly Of Consumer Engagement" Building on the bipartisan repeal of Medicare's sustainable growth rate physician reimbursement model, this Health Affairs blog post explores how this value-driven movement provides a critical opportunity to combine both provider-facing initiatives, or "peanut butter" with consumer-driven strategies, aka "jelly" to produce innovative strategies that promote better consumer access to services on which their clinicians are benchmarked and financially rewarded for providing. The blog also urges value-based insurance design-inspired PB & J efforts to address regulatory barriers in HSA-eligible High Deductible Health Plans to allow voluntary flexibility to cover a broader spectrum of high-value services tied to quality metrics on a pre-deductible basis and to permit variation in beneficiary cost-sharing for guideline-recommended services for selected chronic conditions in specific populations enrolled in Medicare Advantage plans. The Center for Value Based [...]

Vbidcenter2019-10-30T18:16:56+05:00April 23rd, 2015|News|

March 2015: Potential Role for “Clinically Nuanced” V-BID Plans in Private Exchanges

Potential Role for “Clinically Nuanced” V-BID Plans in Private Exchanges Growth in Private Exchanges Employers are increasingly challenged to offer competitive benefits that attract and retain talent while simultaneously control employee health care costs.  While private exchanges have existed for over a decade, these health insurance marketplaces have recently gained popularity as an innovative tool to help employers deal with these conflicting priorities.  Over 1.7 million individuals with employer-sponsored coverage enrolled via a private exchange in 2014; this number is projected to increase to 40 million enrollees by 2018.1 The increased appeal of private exchanges to employers is driven by the potential to substantially reduce administrative burden, provide a cost-effective alternative to traditional benefits purchasing, and, for some, facilitate the transition from a defined benefit to a defined contribution model.  Additionally, the design and technology of these platforms show promise in allowing employers to offer their employees [...]

Vbidcenter2020-02-05T23:01:13+05:00March 15th, 2015|Briefs|

Health Affairs Blog: Expanding the Definition of Prevention Promotes Health Care Value

For Immediate Release March 12, 2015, Ann Arbor, MI.  Embracing prevention is a widely accepted part of the health care transition from volume to value.  The Patient Protection and Affordable Care Act (ACA) mandates the elimination of consumer cost-sharing for selected preventive services in commercial health plans.  In this context, prevention is defined to include services provided to asymptomatic individuals, such as screenings, immunization and counseling. A new Health Affairs blog post examines how the prevailing focus on primary prevention tilts the system away from clinical services often of much greater value - those that manage and prevent adverse consequences associated with chronic disease. In Medicare and Health Savings Account-eligible High-Deductible Health Plans (HSA-HDHP), the narrow definition of preventive services precludes expanded access to many proven high-value clinical services, many of which are quality metrics used by value-based purchasing initiatives.  Authors Michael Chernew, Sandy Schwartz, and Mark Fendrick [...]

Vbidcenter2019-10-30T18:16:59+05:00March 12th, 2015|News|

New V-BID videos showcase a decade advancing the health care cost discussion

V-BID's updated member profile and policy brief describe the Center's history, current private/public sector implementation measures, and future directions as a member of the University of Michigan's Institute for Healthcare Policy and Innovation.

Vbidcenter2019-10-30T18:17:00+05:00February 19th, 2015|News|

Low premiums yet big bills – why high-deductible health plans need reform

Low premiums yet big bills – why high-deductible health plans need reformThis article was originally published on The Conversation.By Betsy Q Cliff, University of Michigan and A. Mark Fendrick, University of MichiganA few years ago, we met Angie, a hair salon owner in Oregon with health insurance coverage and a stack of unpaid medical bills. She and her husband were both employed – he as a carpenter — and earned about US$45,000 a year, a bit less than the median income in their county. They were raising two children. Their health insurance had a deductible of US$4,000 for each person, capped at US$8,000 for the family, which meant they had to pay that much before benefits would kick in.Angie said she had been putting off needed medications for a chronic endocrine disorder and other medical care because they couldn’t afford to pay more on top of the [...]

Vbidcenter2020-07-28T01:19:53+05:00December 18th, 2014|News|

Growing momentum for V-BID in Medicare Advantage plans

Responding to growing momentum for clinical nuance in Medicare Advantage, the V-BID Center has provided substantial comments on the recent CMS RFI regarding a V-BID demonstration project in Medicare Advantage (MA) and Medicare Advantage prescription drug plans (MA-PD). These comments contain explicit, evidence-based recommendations to address some of Medicare’s most complex challenges regarding effective benefit design features, cost-sharing parameters, consumer/provider engagement methods, quality measures, actuarial value considerations, among other topics, while also exploring potential barriers to implementation. This RFI capitalizes on ongoing interest in V-BID at the federal/legislative level. Earlier this September, US Senators John Thune (R-SD) and Debbie Stabenow (D-MI) introduced legislation S.2783: The V-BID for Better Care Act of 2014. The bipartisan, bicameral bill directs the Secretary of Health and Human Services to establish a three-year demonstration program allowing participating MA plans to test V-BID principles of reduced copayments and coinsurance for high-performing providers, evidence-based [...]

Vbidcenter2019-10-30T18:17:00+05:00November 7th, 2014|News, Press Releases|

V-BID submits comments to CMS RFI on Medicare Advantage

In response to the recent CMS RFI regarding implementing V-BID in MA, MA-PD plans, the V-BID Center has submitted comments substantively exploring this option. We hope that you will share this document with interested parties.  Please feel free to comment on this document or contact us if you would like additional information.

Vbidcenter2017-02-16T17:40:46+05:00November 4th, 2014|News, Press Releases|
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