title: State insurance exchanges face challenges in offering standardized choices alongside innovative value-based insurance.
abstract: Value-based insurance is a relatively new approach to health insurance in which financial barriers, such as copayments, are lowered for clinical services that are considered high value, while consumer cost sharing may be increased for services considered to be of uncertain value. Such plans are complex and do not easily fit into the simplified, consumer-friendly comparison tools that many state health insurance exchanges are formulating for use in 2014. Nevertheless some states and plans are attempting to strike the right balance between a streamlined health exchange shopping experience and innovative, albeit complex, benefit design that promotes value. For example, agencies administering exchanges in Vermont and Oregon are contemplating offering value-based insurance plans as an option in addition to a set of standardized plans. In the postreform environment, policy makers must find ways to present complex value-based insurance plans in a way that consumers and employers can more readily understand.
authors: Center on Health Insurance Reforms, Health Policy Institute, Georgetown University, Washington, D.C., USA. sc732@georgetown.edu
authors: Sabrina
authors: S
authors: Corlette
authors: David
authors: D
authors: Downs
authors: Christine H
authors: CH
authors: Monahan
authors: Barbara
authors: B
authors: Yondorf
mesh_terms: D017047:Cost Sharing; D062265:Health Insurance Exchanges / Q000458:organization & administration*; D006801:Humans; D019458:Insurance Coverage / Q000458:organization & administration*; D008484:Medicaid / Q000458:organization & administration; D009936:Organizational Innovation; D058991:Patient Protection and Affordable Care Act / Q000458:organization & administration; D013219:State Government; D014481:United States; D062505:Value-Based Purchasing / Q000458:organization & administration*