Value-based Insurance Design.
نویسندگان
چکیده
The increasing awareness of the scarcity of health care resources is forcing the health care industry to improve quality while lowering the cost. One method by which employers and insurance companies are attempting to do this is with value-based insurance design. In these plans, patients pay a lower amount for certain services that are considered high value and a higher amount for services that are considered low value.
منابع مشابه
Applying value-based insurance design to high-cost health services.
Value-based insurance design programs have focused on reducing consumer cost sharing in health insurance for preventive tests and medications for chronic diseases. But for value-based design principles to have a stronger clinical and economic impact, they should be extended to expensive services and to those for which the evidence is limited or controversial. This paper proposes applying value-...
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High copayments for medical services can cause patients to underuse essential therapies. Value-based health insurance design attempts to address this problem by explicitly linking cost sharing and value. Copayments are set at low levels for high-value services. The Mercer National Survey of Employer-Sponsored Health Plans demonstrates that value-based insurance design use is increasing and that...
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pany’s value-based design initiative.1 Pitney Bowes became the first company in the United States to fully implement this approach, in which the employer sets the amount of cost-sharing for a medical service or treatment according to the value of the intervention rather than its cost. Concurrently, Fendrick and colleagues introduced the value-based insurance concept in the peer-reviewed researc...
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The purpose of this study was to investigate the effect of innovation strategy on the performance of new product development, with emphasis on the value co-creation strategy in Tehranchr('39')s private insurance companies. The research method is descriptive-correlational. The research community was senior managers in five areas of insurance (liability, fire, automobile, freight and machinery) i...
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ورودعنوان ژورنال:
- Health affairs
دوره 26 2 شماره
صفحات -
تاریخ انتشار 2007