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February has been a productive month for the V-BID Center, and we hope you'll folllow our progress below.


Capitol Hill Briefing on
V-BID in MedicareCapitol

Capitalizing on renewed interest in V-BID in the federal policy realm, Representatives John Dingell (D-MI) and Diane Black (R-TN) convened a Congressional briefing on February 28th to address the role of Value-Based Insurance Design (V-BID) as an incremental solution to improve the health and economic well-being of Medicare beneficiaries.   V-BID Center Director, A. Mark Fendrick, MD, presented and answered questions. Please visit our Congressional Briefing webpage for more information and materials. 

CMS Medicare Advantage Call Letter encourages V-BID democall_letter

The CMS Innovation Center issued a 2015 call letter seeking to partner with private payers to
test innovations including, but not limited to, V-BID, beneficiary engagement, incentives, and/or care coordination to lower costs and improve quality for Medicare, Medicaid and CHIP beneficiaries. (Section begins on page 113). A new blog post with more information is available.   

RWJF Brief: "Reducing Overuse and Misuse" includes V-BIDRWJF

A 2014 RWJF brief, "Reducing Overuse and Misuse," focuses on key purchasing strategies-- including V-BID--that state Medicaid agencies and state employee health benefit purchasers can implement to lessen the overuse and misuse of health care services, improve the quality, and reduce the cost of care.  Momentum continues for V-BID in state Medicaid programs and
state employee plans.

Health Affairs: Evaluation of 76 V-BID plans shows increased medication adherenceseventysix

In a
recent Health Affairs evaluation of 76 V-BID plans, Choudhry and colleagues found that programs that were more generous, targeted high-risk patients, offered wellness programs, avoided disease management programs, and encouraged  mail-order prescriptions had a significantly greater impact on adherence than plans without these features.
Health Affairs: BCBS North Carolina V-BID plan improves care, nearly cost neutralNC

An evaluation of a Blue Cross Blue Shield of North Carolina V-BID program that eliminated copays for generic hypertension medications and lowered copays for brand-name medications saw an adherence increase of 2.7-3.4% over a two-year period. Total non-medication expenditures for the study population decreased $5.7 million, offsetting 90% of the additional $6.4 million spent on medications.

NEJM: The politics and economics of labeling low-value servicesNEJM

A recent NEJM perspective offers insights on how the Choosing Wisely campaign has emphasized consumer/provider communication that prioritizes individual patient health care while questioning the application of low-value services to improve health care service delivery. An accompanying AMA Journal of Ethics posting suggests that these low-value lists can offer guidance to payers developing coverage parameters, quality contingent payment systems, and V-BID.
JMCP: Growing evidence that V-BID improves adherenceEvidence

A 2014 Journal of Managed Care Pharmacy study reported that copay reductions for Medicare beneficiaries who were prescribed statins resulted in a 5.9% increase in adherence over 6 months compared to those paying standard copayments. A second 2014 JMCP study found a 4.9% increase in adherence among commercially insured individuals enrolled in a zero copayment program for generic anti-diabetic and anti-hyperlipidemic medications.  An updated V-BID brief summarizes the accumulating evidence for V-BID programs.       

AJM: Chronically ill unable to afford medication, foodAJM

One in three Americans living with a chronic disease has difficulty paying for food, medications, or both, based on findings from the 2011 National Health Interview Survey. With each additional chronic illness, the difficulty of affording medication and food rose by nearly 56%, as reported in the American Journal of Medicine. Using V-BID to lower financial barriers to essential medications improves access and enhances adherence to prescribed therapies.
February 'V-BID in Action' Brief: Michigan Medicaid expansionbrief

In September 2013, Michigan became the 25th state to expand Medicaid under the Affordable Care Act.  Our February action brief describes how the new  Healthy Michigan Plan will incorporate V-BID into Medicaid programs by allowing greater flexibility to vary enrollee cost-sharing for drugs, certain outpatient, emergency department, and inpatient visits to encourage enrollee participation and responsibility.
The University of Michigan Center for Value-Based Insurance Design (V-BID) leads in research, development and advocacy for innovative health benefit designs.

For more information about V-BID, please visit our website and sign up to receive our newsletter.

 

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