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So far V-BID Interns has created 328 blog entries.

Related Media Coverage on Alexander-Murray Bill

Related Media Coverage on Alexander-Murray Bill Alexander, Murray strike bipartisan Obamacare deal providing subsidies, state flexibility   Politico- Jennifer Haberkorn Sens. Lamar Alexander and Patty Murray say they have reached an agreement on a bipartisan Obamacare deal to fund a key insurance subsidy program and provide states flexibility to skirt some requirements of the health care law. Full Article   Another last-ditch effort to tackle Obamacare stalls within hours of its release   Washington Post- Juliet Eilperin, Amy Goldstein, and Sean Sullivan Yet another last-ditch effort to tackle the nation’s health-care system stalled within hours of its release by a bipartisan pair of senators Tuesday, with President Trump sending mixed signals and Republicans either declining to endorse the proposal or outright opposing it. Full Article   Bipartisan Deal to Stabilize ACA Insurance [...]

V-BID Interns2019-10-30T18:16:41+05:00October 18th, 2017|Uncategorized|

Related Media Coverage on LVC Study

Related Media Coverage on LVC Study Low-Cost, High-Volume Services Make Up Big Portion of Spending on Unneeded Health Care   UCLA Health - Enrique Rivero Low-cost, high-volume health services account for a high percentage of unnecessary health spending, adding strain to the health care system, new UCLA-led research suggests. Full Article   Emergency Departments, Behavioral Health and More   Health Affairs Blog In the United States, a substantial proportion of health care costs is allocated to low-value care: patient care providing no net health benefit, such as early diagnostic imaging for uncomplicated low-back pain. Full Article   High-Volume, Low-Cost Services Reflect Most Unnecessary Medical Spending, Study Suggests Becker's Healthcare - Morgan Haefner Healthcare services costing $538 or less were administered much more frequently than services exceeding that cost. For the [...]

V-BID Interns2019-10-30T18:16:41+05:00October 6th, 2017|Uncategorized|

Press Release: “Clinically Nuanced” Medicaid Cost-Sharing Highlighted in the Journal of Medical Economics

Ann Arbor, MI -- If you've tried to see a doctor, fill a prescription or get a diagnostic test lately, you've probably had to pay more out of your own pocket than you would have even a few years ago. Most insurance plans have increased [...]

V-BID Interns2019-10-30T18:16:43+05:00October 4th, 2017|News, Press Releases|

Press Release: Exploring Unnecessary Health Spending in Health Affairs

Study Identifies Unexpected Contributor to Rising Health Costs: Low-Cost Services As the U.S. health care system searches for ways to cut costs while improving quality, new research published in the October 2017 issue of Health Affairs indicates that addressing low-cost, low-value services may go a long way toward reducing overall health care expenditures. The paper, titled "Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health Spending," was co-authored by Value-Based Insurance Design Center Director, Dr. A. Mark Fendrick, and details a UCLA-led study that investigated the financial impact of forty-four low-value health services in the Commonwealth of Virginia. The researchers found that the state spent more than $586 million on unnecessary health care in 2014, and low-cost services accounted for nearly two-thirds of this amount. As pointed out by the authors, "The cost distribution of low-value care should have important implications for policy makers, health care systems, [...]

V-BID Interns2019-10-30T18:16:43+05:00October 3rd, 2017|Press Releases|

Press Release: Senate Passes Bill to Expand V-BID Medicare Demonstration to all 50 States

September 26, 2017 - Today, the United States Senate passed S. 870,  Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017, a bipartisan bill to strengthen and improve health outcomes for Medicare beneficiaries living with chronic conditions.  Among the recommendations is the expansion of the Medicare Advantage V-BID demonstration to plans in any state. BILL SECTION 301.  ADAPTING BENEFITS TO MEET THE NEEDS OF CHRONICALLY ILL MEDICARE ADVANTAGE ENROLLEES UNDER MEDICARE ADVANTAGE.  Under Medicare Advantage (MA) private health plans are paid a per-person monthly amount to provide all Medicare-covered benefits (except hospice) to beneficiaries who enroll. Unlike original Medicare, where providers are paid for each item or service provided to a beneficiary, an MA plan receives the same capitated monthly payment regardless of how many or few services a beneficiary actually uses. The plan is at-risk if aggregate costs for its enrollees exceed program payments and [...]

V-BID Interns2020-01-08T20:25:45+05:00September 27th, 2017|News, Press Releases|

2017 Sponsorship Opportunities

2017 V-BID Summit Sponsorship Opportunities The 2017 V-BID Summit: V-BID at the 'Big House’ will be held as a two-day event at the University of Michigan on March 13/14. The Summit invites stakeholders to engage in a highly interactive all-day discussion to address the opportunities and challenges that arise from the conceptual design to the implementation of clinically nuanced payment reform and benefit design strategies across some of today’s most relevant and challenging health care topics. A draft agenda will soon be available for dissemination. All donations/sponsorships will be gratefully accepted, including amounts lower and higher than those listed below.  Special consideration will be given to non-profit organizations.  For more information, please contact Susan Lynne Oesterle at 734-615-9635 or vbidcenter@umich.edu.   Platinum sponsorship includes six invitations to the following: V-BID Summit evening reception Evening welcome dinner Networking breakfast Summit discussions Networking lunch [...]

V-BID Interns2019-10-30T18:16:45+05:00September 7th, 2017|Uncategorized|

Thursday, September 7, 2017: CCIIO Speaker Series

On Thursday, September 7, Dr. A. Mark Fendrick, MD, Director of the Center for Value-Based Insurance Design (V-BID), along with Dr. Michael Chernew, presented at the Center for Consumer Information and Insurance Oversight (CCIIO) in Bethesda, MD. CCIIO is the component of the Centers for Medicare & Medicaid (CMS) responsible for implementing the private health insurance portions of the Patient Protection and Affordable Care Act (PPACA).  The CCIIO speaker series highlights interesting work related to the individual market, both on- and off-exchange. View the resources below for more information.                     

V-BID Interns2020-01-06T15:18:12+05:00September 7th, 2017|Events, Other Events|

Draft Executive Order Enables Innovation in HSA-HDHPs

In late June, a draft of an executive order, entitled "Reducing the Cost of Medical Products and Enhancing American Biomedical Innovation", emerged that would update IRS Section 223 (c)(2)(C).  Section 6 of the order states: "The Internal Revenue Service shall update the preventive care safe harbor under Section 223 of the Internal Revenue Code to include services or benefits, including medications, intended to prevent chronic disease progression or complications, for the purpose of helping patients adhere to clinical regimens and thereby reducing costs of healthcare." This amendment to the IRS code would provide health savings account eligible high-deductible health plans (HSA-HDHPs) the flexibility to cover services and drugs used to treat chronic diseases before meeting the plan deductible. What does this mean, and why is it important? This executive order would allow for the development and implementation [...]

V-BID Interns2020-01-10T20:57:04+05:00August 1st, 2017|Uncategorized|

Related Media Coverage on Executive Order

Related Media Coverage on Executive Order Conduent:  Administration Eyes Expanding HDHP Pre-Deductible Coverage to Chronic Disease Managment   Julia Zuckerman & Richard Stover A recent draft executive order would direct the IRS to expand the list of preventive care services that an HDHP plan can cover before the participant or beneficiary has met the plan's deductible.  Specifically, it would update the preventive care rules for HDHPs to include services or benefits, including medications, relating to care for chronic disease management. Full Article   Kaiser Health News:  Trump Plan Might Cut Expenses For Some Insured Patients With Chronic Needs   Michelle Andrews Out-of pocket expenses could shrink under a Trump administration draft executive order that would change the Internal Revenue Service rules about what care can be covered before the deductible is met in plans linked [...]

V-BID Interns2020-09-18T21:15:26+05:00July 27th, 2017|Uncategorized|

V-BID Policy Update

This update features policy developments, media reports, and events supporting continued momentum for multiple V-BID Center initiatives.

V-BID Interns2020-09-08T22:33:21+05:00July 19th, 2017|Center Updates, News|

Specialty Pharmaceuticals

  Applying V-BID to Specialty Medications Specialty pharmaceuticals are medications that consist of complex molecules, are often complicated to deliver, and/or carry high costs.  Today, approximately a third of total pharmaceutical spending in the commercial market is devoted to specialty medications. If current trends in utilization hold, it is estimated that spending on specialty medications will comprise half of all pharmaceutical expenditures by 2018. For many patients, specialty medications represent the most appropriate clinical recommendation.  However, the benefit delivered by any given medication may vary markedly depending on the particular circumstances around its use.  This variation is referred to as 'clinical nuance.' To constrain the rapid rate of increased spending, many payers have established high consumer cost-sharing requirements for these medications.  V-BID principles can be applied to align specialty medications and appropriate populations by basing consumer cost-sharing on a drug or treatment’s clinical value, not acquisition [...]

V-BID Interns2020-01-06T15:45:28+05:00July 11th, 2017|Uncategorized|

Press Release: New York Times Article Features V-BID

Ann Arbor, MI -- If you've tried to see a doctor, fill a prescription or get a diagnostic test lately, you've probably had to pay more out of your own pocket than you would have even a few years ago. Most insurance plans have increased [...]

V-BID Interns2019-10-30T18:16:45+05:00July 10th, 2017|News, Press Releases|
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