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Overview

VBID is a demand-modifying strategy that can be implemented in any delivery system, from market-based to single-payer.  VBID argues that patient cost sharing should be set based on the value (benefit net of cost) -- not simply the price -- of services.  As net clinical value increases, patients' out-of-pocket contribution would fall.

 

References

  • (attached) "Value and Increased Cost Sharing in the American Health Care System," Health Services Research (Chernew and Fendrick, April 2008) -- good editorial
  • Chernew, M. E., A. B. Rosen, and A. M. Fendrick. 2007. "Value-Based Insurance Design." Health Affairs 26 (2): w195–203.
  • Fendrick, A. M., and M. E. Chernew. 2006. "Value-Based Insurance Design: Aligning Incentives to Bridge the Divide between Quality Improvement and Cost Containment." American Journal of Managed Care 12 (Spec no.): SP5–10.
  • Fendrick, A. M., and M. E. Chernew. 2007. "Value-Based Insurance Design: A "Clinically Sensitive, Fiscally Responsible" Approach to Mitigate the Adverse Clinical Effects of High-Deductible Consumer-Directed Health Plans." Journal of General Internal Medicine 22 (6): 890–1.
  • Fendrick, A. M., D. G. Smith, M. E. Chernew, and S. N. Shah. 2001. "A Benefit-Based Copay for Prescription Drugs: Patient Contribution Based on Total Benefits, Not Drug Acquisition Cost." American Journal of Managed Care 7 (9): 861–7.