Applying value-based insurance design to high-cost health services.
Value-based insurance design programs have focused on reducing consumer cost sharing in health insurance for preventive tests and medications for chronic diseases. But for value-based design principles to have a stronger clinical and economic impact, they should be extended to expensive services and to those for which the evidence is limited or controversial. This paper proposes applying value-based insurance design principles to self-administered and office-administered specialty drugs, implantable medical devices, advanced imaging modalities, and major surgical procedures.
School of Public Health, University of California, Berkeley, CA, USA. james.robinson@berkeley.edu
James C
JC
Robinson
D003363:Cost Control / Q000191:economics / Q000458:organization & administration; D017047:Cost Sharing / Q000191:economics*; D006296:Health Services / Q000191:economics*; D007348:Insurance, Health / Q000458:organization & administration*; D017146:Models, Organizational; D014481:United States