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Value Based Insurance Design

Value Based Insurance Design. 03/18/14. Robin Allen V-BID Manager. Nancy Morris Communications & Member Relations Director. 1. V-BID Benefits. What’s C overed and How: Evidence-based/high ROI-Highest Payment

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Value Based Insurance Design

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  1. Value Based Insurance Design 03/18/14 Robin Allen V-BID Manager Nancy Morris Communications & Member Relations Director

  2. 1. V-BID Benefits What’s Covered and How: Evidence-based/high ROI-Highest Payment Preference-sensitive/decision making support-Reference Pricing?/ SDM requirement for both? Supply-sensitive (no/little evidence) High Deductible

  3. 2. V-BID Network and Payment Benefit Payment Would Also: Encourage the use of high quality/efficient providers Offer Shared Savings for Providers/Plan Sponsors/Patients

  4. 3.Community and Worksite Support

  5. V-BID • Reconvene V-BID workgroup • Develop ranking for Health Plans • Develop materials to educate brokers & Human Resource specialists on V-BID tenets

  6. V-BID Workgroup • Health Plans, Providers, Purchasers • Identify/develop key components of value based design • Identify/develop administrative efficiencies

  7. V-BID Health Plan Ranking • Develop measures toward V-BID progress • Develop ranking system • Publish ranking

  8. V-BID Education • Consumer Engagement • Purchaser Education • CEO Champions

  9. V-BID We’d like your advice!

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