Evidence That Value-Based Insurance Can Be Effective

被引：73

作者：

Chernew, Michael E. ^{[1
]}

Juster, Iver A. ^{[2
]}

Shah, Mayur ^{[2
]}

Wegh, Arnold ^{[2
]}

Rosenberg, Stephen ^{[2
]}

Rosen, Allison B. ^{[3
]}

Sokol, Michael C. ^{[4
]}

Yu-Isenberg, Kristina ^{[5
]}

Fendrick, A. Mark ^{[3
]}

机构：

[1] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

[2] ActiveHlth Management, New York, NY USA

[3] Univ Michigan, Div Gen Med, Ann Arbor, MI 48109 USA

[4] Merck & Co Inc, Whitehouse Stn, NJ USA

[5] OrthoMcNeil Janssen Sci Affairs, Reg Outcomes Res, Titusville, NJ USA

来源：

HEALTH AFFAIRS | 2010年 / 29卷 / 03期

关键词：

VENTRICULAR EJECTION FRACTIONS; CONGESTIVE-HEART-FAILURE; CARDIOVASCULAR EVENTS; MYOCARDIAL-INFARCTION; MEDICATION ADHERENCE; CHOLESTEROL LEVELS; CHRONICALLY ILL; DISEASE; HEALTH; COST;

D O I：

10.1377/hlthaff.2009.0119

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Value-based insurance design reduces patient copayments to encourage the use of health care services of high clinical value. As employers face constant pressure to control health care costs, this type of coverage has received much attention as a cost-savings device. This paper's examination of one value-based insurance design program found that the program led to reduced use of nondrug health care services, offsetting the costs associated with additional use of drugs encouraged by the program. The findings suggest that value-based insurance design programs do not increase total systemwide medical spending.

引用

页码：530 / 536

页数：7

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