title: Evidence that value-based insurance can be effective.
abstract: Value-based insurance design reduces patient copayments to encourage the use of health care services of high clinical value. As employers face constant pressure to control health care costs, this type of coverage has received much attention as a cost-savings device. This paper's examination of one value-based insurance design program found that the program led to reduced use of nondrug health care services, offsetting the costs associated with additional use of drugs encouraged by the program. The findings suggest that value-based insurance design programs do not increase total systemwide medical spending.
authors.affiliation: Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA. Chernew@hcp.med.harvard.edu
authors.forename: Michael E
authors.initials: ME
authors.lastname: Chernew
authors.forename: Iver A
authors.initials: IA
authors.lastname: Juster
authors.forename: Mayur
authors.initials: M
authors.lastname: Shah
authors.forename: Arnold
authors.initials: A
authors.lastname: Wegh
authors.forename: Stephen
authors.initials: S
authors.lastname: Rosenberg
authors.forename: Allison B
authors.initials: AB
authors.lastname: Rosen
authors.forename: Michael C
authors.initials: MC
authors.lastname: Sokol
authors.forename: Kristina
authors.initials: K
authors.lastname: Yu-Isenberg
authors.forename: A Mark
authors.initials: AM
authors.lastname: Fendrick
mesh_terms: D002908:Chronic Disease / Q000188:drug therapy; D017047:Cost Sharing; D003365:Costs and Cost Analysis; D003669:Deductibles and Coinsurance; D055317:Evidence-Based Practice; D006264:Health Benefit Plans, Employee / Q000191:economics*; D017048:Health Care Costs; D005102:Health Expenditures / Q000706:statistics & numerical data / Q000639:trends; D006284:Health Plan Implementation; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology; D055553:Prescription Drugs / Q000191:economics / Q000600:supply & distribution; D015397:Program Evaluation / Q000191:economics*; D012051:Reimbursement Mechanisms; D014481:United States
chemical_list: D055553:Prescription Drugs