Library

Library

Lessons from Medicare’s Demonstration Projects on Value-Based Payment

A summarization of the results of Medicare demonstrations of value-based payment systems, which give providers financial incentives to improve the quality and efficiency of care.  http://www.cbo.gov/sites/default/files/cbofiles/attachments/WP2012-02_Nelson_Medicare_VBP_Demonstrations.pdf

March 21, 2013

Rapidly Evolving Physician-Payment Policy More Than the SGR

An analysis and discussion of innovations and challenges in payment reform initiatives. http://www.nejm.org/doi/full/10.1056/NEJMhpr1004028

March 21, 2013

The Evidence for V-BID: Validating an Intuitive Concept

A sample of peer-reviewed research providing evidence, examples and insights on value-based insurance design. http://www.sph.umich.edu/vbidcenter/publications/pdfs/V-BID%20brief%20Evidence%20Nov2012.pdf

March 21, 2013

Assessing The Evidence For Value-Based Insurance Design

A study of value-based insurance design strategies including a description of implementations and results. (Abstract only, full text requires subscription) http://content.healthaffairs.org/content/29/11/1988.abstract

March 21, 2013

Choice Architecture Is A Better Strategy Than Engaging Patients To Spur Behavior Change ABSTRACT Patient engagement is increasingly seen as

Research on whether and in what settings patient engagement is or isn't effective.  (Abstract only. Full text requires subscription.) http://content.healthaffairs.org/content/32/2/242.abstract

March 21, 2013

Evaluating and negotiating payment options

A Guide for Providers

A resource guide for providers for evaluating and negotiating payment options. http://www.ama-assn.org/ama/pub/physician-resources/practice-management-center/claims-revenue-cycle/managed-care-contracting/evaluating-payment-options.page?

March 20, 2013

Purchaser-Provider Synergies Overview

Fact Sheet

In this program, the Agency for Healthcare Research and Quality (AHRQ) helps purchasers and providers enhance quality improvement, public reporting, and pay-for-performance programs. The effort is designed to help purchasers and providers understand the science behind early efforts and benefit…

March 20, 2013

Pay for Performance (P4P): AHRQ Resources

A compilation of Pay for Performance and other purchaser strategies, research and tools that are supported by the Agency for Healthcare Research and Quality http://www.ahrq.gov/legacy/qual/pay4per.htm

March 20, 2013

101 Economic Incentives for Preventive Care: Summary

Provider and Patient Incentives in Preventive Care

A compilation of literature and evidence on the impact of economic incentives targeted at motivating providers and consumers to adopt preventive health behaviors. http://www.ncbi.nlm.nih.gov/books/NBK11845/

March 20, 2013

Insurer Provides Financial Incentives, Infrastructure, and Other Support to Stimulate Provider Participation in Quality Improvement Collaborations

Policy Innovation Profile

A case study of insurer provided financial incentives, infrastructure and other support to stimulate provider participation in quality improvement collaborations http://www.innovations.ahrq.gov/content.aspx?id=3641

March 20, 2013

Innovative Policies: Using ACO Principles and Financial Incentives to Improve Health Outcomes

Webinar Series January 29 2013

Web seminar materials on innovative policies using ACO principles and financial incentives to improve health outcomes http://www.innovations.ahrq.gov/webevents/index.aspx?id=46

March 20, 2013

Consumer Financial Incentives: A Decision Guide for Purchasers

This Guide reviews the application of incentives to five types of consumer decisions: (1) Selecting a high value provider, (2) Selecting a high value health plan, (3) Deciding among treatment options, (4) Reducing health risks by seeking preventive care, and…

March 20, 2013

Benefit Design Innovations: Implications for Consumer-Directed Health Care

A description of various innovations in benefit design for consumer directed health care and their policy implications http://www.hschange.com/CONTENT/913/#ib3

March 20, 2013

Using Evidence to Design Benefits

Research Insights

A research brief describing the use of evidence about medical effectiveness to design value-based benefit design. http://www.academyhealth.org/files/publications/RschInsightsDesignBenefit.pdf

March 20, 2013

Value-Based Purchasing Guide

An overview of various value-based benefit design strategies focusing on health behaviors, chronic condition management, medications, and provider choice http://www.nbch.org/VBBD-Introduction

March 20, 2013

Value-Based Ecosystem: value-based benefit design and outcomes-based contracting

Highlights and insights nto new efforts in outcomes-based design and value based benefit design to improve prevention and wellness, chronic care management, and care guidance/management. http://www.cyndynayer.com/value-based-ecosystem-brief/  …

March 20, 2013

Report Card on State Price Transparency Laws

July 26, 2016

Dear Colleagues, We are happy to announce the fourth installment of the Health Care Incentives Improvement Institute (HCI3) – Catalyst for Payment Reform (CPR) Report Card on State Price Transparency Laws.The health care leaders who have been following our report…

March 17, 2013

Copayment Reductions Generate Greater Medication Adherence in Targeted Patients

Value-based insurance design program via BCBSNC eliminated generic medication copayments for brand name meds and improved adherence to meds for diabetes, hypertension, hyperlipidemia, and CHF. http://www.rwjf.org/en/research-publications/find-rwjf-research/2010/11/copayment-reductions-generate-greater-medication-adherence-in-ta.html

March 11, 2013

Health Care Benefits – Creating the Optimal Design

RWJF - Changes in Health Care Financing & Organization (HCFO)

Issue Brief describes the role of benefit design such as consumer-driven health plan and VBID to maximize coverage and offer incentives for quality and efficiency. http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2009/rwjf46743

March 11, 2013

Low-Value Services in Value-Based Insurance Design

Identifies low value medical treatments in order to deter their use http://www.ajmc.com/publications/issue/2010/2010-04-vol16-n04/AJMC_10apr_Neumann_280to286/

March 11, 2013

State Insurance Exchanges Face Challenges In Offering Standardized Choices Alongside Innovative Value-Based Insurance

How states and health plans aim to implement VBID http://content.healthaffairs.org/content/32/2/418.full?ijkey=vDdQOiqFqTlNc&keytype=ref&siteid=healthaff

March 11, 2013

Medication Adherence Changes Following Value-Based Insurance Design

VBIP design improves adherence to medications to treat cardiometabolic conditions http://www.ajmc.com/publications/issue/2012/2012-5-vol18-n5/Medication-Adherence-Changes-Following-Value-Based-Insurance-Design

March 11, 2013

Value-Based Insurance Design

More Health at Any Price

This article explores value-based insurance design (V-BID), which acknowledges the importance of cost-sharing, but aligns patient contributions with the intervention’s potential for clinical benefit. http://www.rwjf.org/en/research-publications/find-rwjf-research/2012/02/special-issue-of-health-services-research-links-health-care-rese/value-based-insurance-design.html

March 11, 2013

CMS Roadmaps for Quality Measurement, Resource Use and Promoting Value in Medicare: Charting a Path that Could Support Transformation in Health Care

Description of 3 "roadmaps" for achieving high value health care http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2009/rwjf47343

March 11, 2013

A Transparency and Accountability Framework for High-Value Inpatient Nursing Care

This article outlines a framework for achieving are rewarding high-value inpatient nursing care http://www.nursingeconomics.net/ce/2012/article28295306.pdf

March 11, 2013