Value-Based Health Insurance Design: Bridging the Divide Between Quality and Cost Containment

Order a CD-ROM (includes handouts)
(ISCEBS members order here, using item #TW108 and price $177)
$195 International Foundation or ISCEBS member ($177 + S&H)
$255 nonmember ($237 + S&H)

Cost sharing plays a critical role in defining the health care benefit. To balance the demands for access to medical interventions with pressures to constrain costs, levels of cost sharing must be set in a manner that achieves appropriate clinical and financial outcomes. Using an alternative approach, Value-Based Insurance Design, patient contributions are based on the potential for clinical benefit, taking into consideration the patient’s clinical condition. The teleweb will cover

• Currently used cost-containment mechanisms
• The relationship between cost sharing and patient adherence
• The misalignment of incentives between investment in disease management initiatives and individual cost sharing
• The potential of a cost-sharing program for which copays are based on an intervention’s clinical benefit
• Real-life examples of Value-Based Insurance Design implementation programs.