Health Affairs July 15, 2019
Haley Richardson, Michael Budros, Michael E. Chernew, A. Mark Fendrick

The passage of the Patient Protection and Affordable Care Act (ACA) in 2010 has led to significant gains in health insurance coverage for many Americans. Despite this, many insured patients still struggle to afford the care they need, given the well-documented increase in deductibles and other consumer cost sharing. Financial barriers to high-value care particularly affect low-income individuals and families, as well as those with chronic conditions. As our country grapples with the impacts of escalating health care expenditures through the discussion and implementation of alternative payment models, it’s important to improve the incentives and coverage provided by health plans to beneficiaries.

Value-Based Insurance Design (V-BID), which aligns patients’ out-of-pocket costs with the value of services, offers a route to...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Payer, Provider, Public Exchange
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