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.