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A. Mark Fendrick, MD, testifies in front of the U.S. House Commitee on Ways and Means Subcomittee on Health 02-26-13
A. Mark Fendrick, MD, testified before the U.S. House Committee on Ways and Means
Subcomittee on Health



V-BID Newsletter
February 2013

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February's newsletter highlights:
Please follow us on twitter to track and share news on benefit design, payment reform, and healthcare transformation.
 
 
On Tuesday, February 26, V-BID Center  A. Mark Fendrick testified before the House Committee on Ways and Means Subcommittee on Health to advance V-BID concepts in Medicare Advantage programs. Video and summary are available; testimony begins at 31:55. Read news coverage of the hearing. 
cost-sharingV-BID comments on Medicaid cost-sharing

In response to the notice of proposed rule making (NPRM) CMS-2334-P issued on January 22, 2013, the V-BID Center offered comments on the proposed Medicaid cost-sharing recommendations. 
LessDoing less for better health

As part of the Choosing Wisely initiative, doctors identify more than 130 tests and treatments done too often that result in low clinical value.
 The V-BID
notion of clinical nuance--that different services have different levels of value--continues to grow. 
SIMV-BID and state innovation models

Arkansas, Maine and Oregon are  three of six delivery transformation grantees that reference or include V-BID principles. These awards were granted through the Centers for Medicare and Medicaid State Innovation Model Initiative, and second-round funding will be available. 
NIHCRFew Americans switch benefit plans voluntarily  

A
research brief from National Institute for Health Care Reform (NIHCR) shows that job changes or changes in employers' plan offerings drives consumer benefit plan changes. National reform initiatives to expand coverage, including V-BID plan options, may allow for greater consumer autonomy. 
alignTo reduce costs, consumers and providers must be aligned   

February's Health Affairs includes a study of more than 20 focus groups that examined
patients' willingness to discuss health care costs with clinicians. Even when deciding among nearly comparable clinical options, patients did not want cost to factor into medical decision-making.  
co-paysEliminating co-pays for better outcomes
 
study from Population Health Management shows that the V-BID concept of eliminating co-payments for chronic disease management--such as diabetes-related medications and supplies--improves patients' medication adherence and care management. The full article is available. 
smokers
Increased health care premiums for smokers in 2014

Insurers can
raise smokers' premiums by 50 percent in 2014. While this increase may tempt smokers to quit, both "carrot" and "stick" interventions should be used to encourage smoking cessation.
briefV-BID Brief: Clinically nuanced incentives 

February's brief posits that V-BID programs that combine reductions in cost-sharing for high-value services and increases in cost-sharing for low-value services can improve quality and reduce costs.
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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