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With spring on its way, we hope you enjoy V-BID's March newsletter highlights. 

AJMC: 2013 V-BID Summit RecapAJMC 

The March issue of the American Journal of Accountable Care (AJMC) includes a summary of the V-BID Fall Summit, "Volume to Value: Infusing Clinical Nuance into Health Care Transformation."  Policymakers, state health commissioners, plan directors, and health system leaders addressed supply- and demand-side innovations in numerous payer settings including state health insurance exchanges, Medicaid and Medicare plans, accountable care organizations, and commercial insurance plans to improve healthcare quality and lower costs as large scale infrastructure changes evolve. Slides, video, and speaker biographies are available.

Capitol Hill briefing on the role of V-BID in MedicareCapitol

On February 28, V-BID Center Director, A. Mark Fendrick, MD, presented at a bipartisan Capitol Hill briefing on how value-based insurance design may be used as an incremental solution to improve the health and economic well-being of Medicare beneficiaries. Visit our briefing website for slides and additional reading

NEJM: Medicaid cost-sharing in the ACANEJM

A New England Journal of Medicine perspective describes innovative cost-sharing initiatives in state Medicaid plans.  New federal rules allow V-BID principles in Medicaid; V-BID played a key role in the Healthy Michigan Plan Medicaid expansion.

National Health Law Program: Brief on Medicaid premiums and cost-sharingNational

This brief reviews the literature on the impact of premiums and cost-sharing on enrollment, service utilization, and health status with particular emphasis on how the research consensus fits with the flexibility Medicaid law gives states to establish premiums and cost-sharing. 

Avalere: Exchange plans control drug access for consumersAvalere

A new analysis by Avalere Health shows that consumers purchasing insurance through exchanges are twice as likely to face utilization management controls on prescription medications compared to people enrolled in employer-sponsored insurance plans.  

Bloomberg: Employers raise deductibles to reduce costsBloomberg

A new Mercer survey reports that nearly one-third of the 700 surveyed companies have already increased deductibles or other cost-sharing provisions such as co-pays, and nearly 50% percent surveyed are considering similar moves. Six things to know about deductiblesGOV

Monthly premiums, provider visit/prescription co-pays, additional co-insurance and out-of-pocket deductibles should all be considered when selecting a health care plan.  A blog post from offers six tips about deductibles and health care costs. 

Milbank: Rising cost of health care burdens most AmericansMilbank

A new study published in the Milbank Quarterly Review finds that from 2001-2009, health care costs have become a financial burden to almost all Americans.  Researchers found that while median household income rose an average of 1.5 percent per year during that timespan, payments for insurance premiums rose 7.1 percent, and out-of-pocket health costs rose 1.2 percent.  

Journal of Clinical Oncology: Breast cancer survivors report hardship due to treatment costJCO

According to a new University of Michigan study, nearly 25% of breast cancer survivors say they face financial difficulty due, in some part, to the cost of their treatment; 12% report medical debt from paying for treatment.  

Health Affairs: The Arkansas payment reform laboratoryARK

A Health Affairs blog describes the Arkansas Payment Improvement Initiative, which aims to create payment incentives that motivate and reward patient-centered management of outcomes and reductions in total cost of care.  Innovations include payment models based on "episodes of care" and incentives surrounding Patient-Centered Medical Homes for health needs and Health Homes for populations with additional, more complex support needs.  

'V-BID in Action' brief: Evidence accumulates for V-BIDEvidence

Our most popular issue brief detailing the clinical and economic effects of V-BID principles in patient cost-sharing has been updated to reflect that when incentive-based V-BID programs are combined with targeted programs that reduce the use of harmful or unproven services, these clinically nuanced designs can simultaneously improve quality and contain costs.       

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 or call 734-615-9635.
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