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V-BID Newsletter
December 2012
December's newsletter highlights:
  • Consumers unaware of free preventive care in consumer-driven health plans
  • Consumer-driven health plans save money, with limitations 
  • NAIC: no increases in cost-sharing in Medigap plans
  • AJPB: High drug co-pays deter restarts after treatment gap
  • National reports on skyrocketing health insurance costs 
  • A round-up of the latest presentations by V-BID researchers

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HealthAffairsStudy shows widespread confusion about benefits in consumer-driven health plans
Health Affairs Nov Cover

A study published in Health Affairs found that fewer than one in five people knew their high-deductible health plan covered preventive services. The study, and other recent news coverage of these types of plans, speaks to the need for more education around the structure of consumer-driven health plans.  
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A synthesis paper from the Robert Wood Johnson Foundation pulled together evidence showing that consumer-driven health plans save money but have a mixed effect on quality and may not contain costs for beneficiaries with chronic disease.
National Association Insurance Commissioners A National Association of Insurance Commissioners committee found no empirical basis for raising the cost-share paid by Medigap policy holders for physician services, saying  a higher cost-share could reduce necessary care and disproportionately affect disadvantaged populations. 
Higher co-pays deter resumption of cardiac medications after treatment gap
A study published in the American Journal of Pharmacy Benefits and 
authored by researchers associated with the V-BID Center found nearly half of patients do not return to statin therapy after a 90-day gap. Higher co-pays were associated with a lower chance of filling a subsequent prescription.  
Cost of health insurance premiums for families skyrocketing, reports find

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Research from the National Institute for Health Care Management showed health insurance premiums have more than doubled over the past decade. The Commonwealth Fund found increasing premiums and deductibles, meaning families are paying more for insurance but getting less coverage. 


MeetingsV-BID included in national meetings

V-BID Center staff presented at a couple of high-level national meetings this month, including America's Health Insurance Plan's Fall Forum 2012, the Maryland Health Quality & Cost Council and at a briefing for Capitol Hill staffers sponsored by Third Way and the Council for Affordable Health Coverage.
We hope you have a festive holiday season. 
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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