The American Medical Association Council on Medical Service and Council on Science and Public Health recently released a joint report that strongly endorsed value-based insurance design as a potential solution to align clinical and financial incentives for high-value care. The report listed eleven key policy recommendations, including the following:
- Support clinically nuanced V-BID plans
- Support the requirement of private health plans to provide coverage for evidence-based preventive services without cost-sharing for patients
- Support Medicare Advantage V-BID plans
- Support legislative and regulatory flexibility to implement V-BID, including expanding the safe harbor of HSA-eligible high-deductible health plans to include coverage for preventive care and chronic diseases
- Encourage national medical specialty societies to identify high-value services and collaborate with payers to experiment with plan designs that align incentives with utilization of high-value services
The AMA House of Delegates adopted all report recommendations. To read the full report and AMA News article, click on the buttons below.
Joint Report AMA News Article
Read more about value-based insurance design:
V-BID One-Pager Policy Summary V-BID Infographic
Clinical Nuance Video Clinical Nuance Infographic Financial Impact Infographic