Value-Based Benefit Design Expansion
(38). Berger JE, “Expanding the Focus of Value-Based Benefit Design: Specialty Pharmacy,” American Journal of Pharmacy Benefit. published online April 2010;2(2). http://www.ajpblive.com/issues/2010/vol2_no2/Berger_2-2.
- The author examines how value-based benefit design could be applied to specialty drugs.
- Grey literature
- Keywords: specialty pharmacy; out-of-pocket costs
(39). Brennan T and Riesman L, “Value-Based Insurance Design And the Next Generation of Consumer Driven Health Care,” Health Affairs. published online January 30, 2007;26(2):204-207. http://content.healthaffairs.org/cgi/content/full/26/2/w204.
- The next generation of consumer-driven health care will require more attention to value-based insurance design so as to ensure that patients have access to appropriate and high-quality care. This can be accomplished so long as insurers carefully integrate financial incentives into benefit design, build advice about evidence-based medicine into their plans, and thoroughly use the increased facility of information technology in their efforts.
- Peer reviewed
- Keywords: consumer-directed care; high-deductible plan; Clark Havighurst; Regina Herzlinger
(40). Robinson JC, “Applying Value-Based Insurance Design to High-Cost Health Services,” Health Affairs. November 2010;29(11):2009-2016. http://content.healthaffairs.org/content/29/11/2009.abstract.
- The author argues that for value-based design principles to have a stronger clinical and economic impact, they should be extended to expensive services and to those for which the evidence is limited or controversial. The author proposes applying these principles to self-administered and office administered specialty drugs, implantable medical devices, advanced imaging and major surgical procedures.
- Peer reviewed
- Keywords: value-based insurance design; specialty drugs; biologics; medical devices; advanced imaging; surgical procedures; MRI; magnetic resonance imaging