This week, the cost-saving principles of V-BID have made headlines. Fortune Magazine highlights how the V-BID Center‘s successes in policy enable high-deductible insurance plans to cover the cost of essential services. Reuters News reports on how CVS is putting V-BID principles into practice with the launch of a new program.
On Thursday, January 30th, Dr. A. Mark Fendrick, MD and the V-BID Center hosted the webinar 'VBID X: A New Plan Option for the Individual Health Insurance Market' for the Northeast Business Group on Health. V-BID X is geared towards employers and serves a template to guide incorporation of the VBID model - cost-neutral, value-based principles - into the organization's plan benefit design.
On Wednesday, January 29, Dr. A. Mark Fendrick, MD, Director of the Center for Value-Based Insurance Design (V-BID), delivered the closing address at the "Policy, Politics, and Progress" Summit.
On Thursday, January 23, Dr. A. Mark Fendrick, MD, Director of the Center for Value-Based Insurance Design (V-BID), presented at the University of Michigan's Healthcare Administration Scholars Program. This educational experience was designed for house officers interested in pursuing healthcare administration. Dr. Fendrick presented on value-based insurance design topics, including the impact of consumer cost-sharing, clinical nuance, translating research into policy, addressing unnecessary care, and aligning provider and consumer incentives. Click here to view Dr. Fendrick's presentation.
This week’s episode of IlluminateHR, an engaging Human Resources podcast, features the innovative concept that is value-based insurance design.
January 15, 2020– Today, Senators John Thune (R-SD) and Tom Carper (D-DE), reintroduced the Chronic Disease Management Act in the United States Senate (S. 3200).
This December, the Center for Value-Based Insurance Design was featured in the publications of The Health Care Blog and Fierce Healthcare.
Lowering health care expenditures and ensuring access to high quality medical care for Medicare beneficiaries is a health policy priority. Value-Based Insurance Design (V-BID) is an innovative approach to consumer cost-sharing that can improve quality of care and potentially lower costs in the Medicare Program. V-BID plans are designed with the tenants of clinical nuance, recognizing that the clinical benefit derived from a specific service depends on the consumer using it, as well as when, where and by whom the service is provided. The most significant opportunity for V-BID implementation lies in the Medicare Advantage (MA) program.
On July 24th, 2019, the V-BID Center co-hosted the webinar VBID X: A New Plan Option for the Individual Health Insurance Market, with the Harvard Healthcare Markets & Regulation Lab.
White House Report Urges Broader Coverage for Chronic Diseases in HSA-Qualified High-Deductible Health Plans On December 3rd, 2018, the White House released its 119-page report, Reforming America's Healthcare System Through Choice and Competition. In this report, HHS, in collaboration with the Department of Treasury, Labor, the FTC, and the White House, sets forth many formal recommendations aimed toward developing a better health care system. The report highlights the need for HSA reform and, more specifically, advocates for the expansion of the scope of preventive care and chronic condition services covered before the minimum deductible is met. An excerpt from pages 82 and 83 is included below: "As noted above, an additional constraint on the availability and use of HSAs is the requirement that HSA-qualified plans can only provide certain preventive care benefits before the minimum deductible is met. Reconsideration of the scope of [...]
December 6, 2016 - Senate Finance Committee Chairman Orrin Hatch, R-Utah, and Ranking Member Ron Wyden, D-Ore., along with Senators Johnny Isakson, R-Ga., and Mark Warner, D-Va., co-chairs of the Finance Committee Chronic Care Working Group introduced S. 3504, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016, 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 SEC. 301. ADAPTING BENEFITS TO MEET THE NEEDS OF CHRONICALLY ILL MEDICARE ADVANTAGE ENROLLEES. (h) NATIONAL TESTING OF MODEL FOR MEDICARE ADVANTAGE VALUE-BASED INSURANCE DESIGN - (1) IN GENERAL - In implementing the model described in paragraph (2) proposed to be tested under section 1115A(b), the Secretary shall revise the testing of the model under such section to cover, effective not later than January 1, 2019, [...]
On August 10, the Centers for Medicare & Medicaid Services (CMS) announced refinements to the design of the second year of the Medicare Advantage Value-Based Insurance Design (MA V-BID) model. The MA-V-BID model is an opportunity for Medicare Advantage plans, including MA plans offering Part D benefits, to offer clinically nuanced benefit packages aimed at improving quality of care, while also reducing costs. In the second year of the model, beginning January 1, 2018, CMS will 1) open the model test to new applicants; 2) conduct the model test in three new states - Alabama, Michigan, and Texas; 3) add rheumatoid arthritis and dementia to the clinical categories for which participants may offer benefits; 4) make adjustments to existing clinical categories; and 5) change the minimum enrollment size for some MA and MA-PD plan participants. Value-Based Insurance Design (V-BID) generally refers to health insurers’ efforts to structure [...]
V-BID aligns patients' out-of-pocket costs with the value of services. These innovative plans are designed with the tenets of "clinical nuance", recognizing that 1) clinical services differ in the benefit health produced, and 2) the clinical benefit derived from a specific service depends on who receives it, who provides it, where it is provided. Our new video offers a visual guide to better understand clinical nuance.
Washington, July 13, 2016 - According to the American College of Physicians (ACP), consumer cost-sharing, particularly deductibles, may cause patients to forgo or delay care, including medically necessary services. ACP's position paper, "Addressing the Increasing Burden of Health Insurance Cost-Sharing," recommends the implementation of value-based insurance design (V-BID) as a potential solution to make patient cost-sharing more equitable. The ACP's endorsement of V-BID builds on multi-stakeholder and bipartisan support, including the incorporation of V-BID principles in Section 2713 of the Patient Protection and Affordable Care Act requiring the elimination of consumer cost-sharing for specified preventive care services, the CMS MA-VBID demonstration project set to begin in seven states in January 2017, and the H.R. 5652, "Access to Better Care Act of 2016," that allows high deductible health plans the flexibility to provide coverage for services that manage chronic disease prior to meeting the plan deductible. Each of these programs align with the ACP's [...]
This interactive timeline highlights the history of Value-Based Insurance Design (V-BID) from the conception of clinically nuanced cost-sharing to the implementation of V-BID principles into private and public health plans across the country.
