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 Insurance Design has joined a growing coalition of providers, consumers, payers, policymakers, health science manufacturers embarking on a wide-scale strategic process to pursue the common goal of better care, happier and healthier people, and smarter spending. To learn more, please visit the Smarter Health Coalition website.
