Improving Access to High-Value Care Lowers Costs, Improves Health

AHIP August 6, 2019
Greg Gierer, SVP, Policy

Study: Advancing value-based insurance design principles for coverage options on the Exchange marketplace

We need greater value in health care for patients and consumers, ensuring the right care is delivered at the right time, and with greatest effectiveness. That’s where value-based insurance design (VBID) comes in – which promotes access to high-value care services for the best health results at the best price.

For example, a health plan may set no cost sharing for medications and doctor visits necessary to control chronic conditions, like diabetes, high blood pressure, and asthma – while raising deductibles and copays for services proven to be low-value, wasteful, or harmful.

By eliminating or reducing cost-sharing for high-value services, VBID holds promise in...

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