title: Value-based insurance design: benefits beyond cost and utilization.
abstract: As value-based insurance design (VBID) programs proliferate, evidence is emerging on the impact of VBID. To date, studies have largely measured VBID impact on utilization, and a few studies have assessed its impact on quality, outcomes, and cost. In this commentary we discuss these domains, summarize evidence, and propose the extension of measurement of VBID impact into areas including workplace productivity and quality of life, employee and patient engagement, and talent attraction and retention. We contend that VBID evaluations should consider a broad variety of programmatic dividends on both humanistic and health-related outcomes.
authors.affiliation: Harvard Medical School, 180 Longwood Ave, Boston, MA 02135. E-mail: gibson@hcp.med.harvard.edu.
authors.forename: Teresa B
authors.initials: TB
authors.lastname: Gibson
authors.forename: Ross J
authors.initials: RJ
authors.lastname: Maclean
authors.forename: Michael E
authors.initials: ME
authors.lastname: Chernew
authors.forename: A Mark
authors.initials: AM
authors.lastname: Fendrick
authors.forename: Colin
authors.initials: C
authors.lastname: Baigel
mesh_terms: D017047:Cost Sharing / Q000191:economics*; D003362:Cost-Benefit Analysis / Q000458:organization & administration*; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D014481:United States; D000070376:Value-Based Health Insurance / Q000458:organization & administration*