Health Payer Intelligence March 14, 2023
Members enrolled in the value-based insurance design plan saw increased primary care use, leading to higher out-of-pocket healthcare costs for outpatient care but lower inpatient costs.
California’s value-based insurance design (VBID) program was associated with a higher probability of primary care use, a lower probability of inpatient admissions, and no change in total costs for health plan members during the first two years of operations, a study published in JAMA Network Open found.
VBID programs aim to increase member use of high-value care and minimize low-value care use to improve health outcomes and reduce total healthcare costs.
In 2019, the California Public Employees’ Retirement System (CalPERS) created a VBID program in one of its preferred provider organization (PPO) commercial health...
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