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V-BID Newsletter
October 2012
Upcoming Events

Friday 11/16/12:
The American Journal of Managed Care
Baltimore, MD

Wednesday, 12/5/12:
America's Health Insurance Plans
Chicago, IL

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This month's newsletter highlights include:
  • a new V-BID Center research brief on ways to incorporate value-based insurance design into state health exchanges 
  • two new studies,one with a large employer and the other with a health plan, which found that value-based insurance designs could improve health and may not raise cost
  • a new working paper written by faculty associated with the V-BID Center found that when patient cost-sharing increases, so does workplace absenteeism 
  • a perspective from University of Pennsylvania researchers published in the Journal of the American Medical Association that discusses the use of V-BID to discourage utilization of medical services with little value
  • a recently released survey which found more consumers are concerned about health care cost than innovation   

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We hope you enjoy this month's newsletter.


BriefV-BID Center Brief: 5 Ways States Can Incorporate V-BID into Insurance Exchanges
July 2012 Brief     
A brief from the V-BID Center describes how value-based insurance design could be incorporated into state insurance exchanges under the Affordable Care Act. Given the flexibility allowed in designing the exchanges, state officials can use V-BID principles to to maximize efficiency.     
JACCV-BID Improves Employee Health without Raising Costs: One Company's Experience
JrnlAmCllgeCardioA journal of the American College of Cardiology study reports that individuals adhered better to medications, had fewer emergency room visits, and decreased hospital admissions without raising total costs after the implementation of a V-BID program for high-value cardiac medications. An accompanying  editorial co-authored by V-BID Center's Mark Fendrick discusses the role for V-BID in cardiology. 
WhitePaperWhen out-of-pocket costs rise, employees are more likely to miss work 
National Bureau Economic Research  A new National Bureau of Economic Research working paper finds that, when patient out-of-pocket costs rise, workplace absenteeism increases, suggesting a connection between health plan design and worker productivity. The paper, which was covered in the Washington Post, is one of the first to examine the consequences of patient cost-sharing on the labor environment.   
JAMA: V-BID could be effective for reducing use of low-value services 


JAMA logo A Journal of the American Medical Association Viewpoint article from University of Pennsylvania researchers discuss the role of V-BID in raising patient cost-sharing for low-value medical tests and treatments - such as those identified by the Choosing Wisely campaign. (For those without a JAMA subscription, a summary of the article is available here.) 
MedCareStudy shows increased medication adherence in plans with value-based design


Medical Care journalA V-BID Center study in the November issue of Medical Care showed that, in a large regional health plan, people who had lower co-payments for cholesterol lowering medications in a V-BID program were significantly more likely to adhere to their medications than those in a traditional plan. 
SurveySurvey Finds Consumers More Worried About Health Care Cost than Access to Innovation
HillKnowlton  A recent Hill+Knowlton survey of 800 Americans found that nearly half of respondants worried about the cost of health care a lot, while just one in five reported similar concerns regarding access to innovation. By reducing barriers to evidence-based services and providers, V-BID can mitigate cost-related non-adherence to high-value care.
We at the V-BID center hope you are having a safe and healthy fall.
The University of Michigan Center for Value-Based Insurance Design (V-BID) leads in research, development and advocacy for innovative health benefit designs.

To contact the V-BID center, email us at
vbidcenter@umich.edu or call 734-615-9635

For examples of V-BID programs from across the country, visit our V-BID registry.

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