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November 02, 2010 01:00 AM

Value-based design could boost quality: study

Jessica Zigmond
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    Ignagni

    Value-based insurance design—the strategy of lowering copayments for services relative to their costs—could improve the quality of healthcare, according to a study published in the November issue of the journal Health Affairs.

    Stating that there has been little empirical evidence to support the use of value-based design, the authors studied the U.S. company Pitney Bowes, which eliminated copayments more than three years ago for cholesterol-lowering statins and reduced them for clopidogrel, a blood-clot inhibitor. Researchers found the move was associated with a 2.8% increase in adherence to statins relative to controls, which was maintained for a subsequent year.

    “In 2006 adherence declined by similar rates in both cohorts, but the implementation of the new policy on Jan. 1, 2007, was associated with a stabilizing of adherence in the intervention cohorts, which declined among controls,” the authors wrote.

    The analysis followed another article in this month's issue that said high copayments for medical services cause patients to underuse essential therapies.

    At a briefing about the articles, Karen Ignagni, president and CEO of America's Health Insurance Plans, referred to the articles as “very, very thoughtful papers” and talked about the importance of aligning incentives with medication adherence. Ignagni also said more information is needed about comparative-effectiveness research with regard to drugs and procedures; that cost should be a consideration; and that groups should work collaboratively in this effort.

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      • From the Editor
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      • Awards
        • Nominate/Eligibility
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        • Best Places to Work in Healthcare
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        • Health Care Hall of Fame
        • Healthcare Marketing Impact Awards
        • Top 25 Emerging Leaders
        • Top Innovators
        • Diversity in Healthcare
          • - Luminaries
          • - Top 25 Diversity Leaders
          • - Leaders to Watch
        • Women in Healthcare
          • - Luminaries
          • - Top 25 Women Leaders
          • - Women to Watch
      • Conferences
        • Digital Health Transformation Summit
        • ESG: The Implementation Imperative Summit
        • Leadership Symposium
        • Social Determinants of Health Symposium
        • Women Leaders in Healthcare Conference
      • Galas
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        • Health Care Hall of Fame Gala
        • Top 25 Diversity Leaders Gala
        • Top 25 Women Leaders Gala
      • Virtual Briefings
        • - Hospital of the Future
        • - Value Based Care
        • - Hospital at Home
        • - Workplace of the Future
        • - Digital Health
        • - Future of Staffing
        • - Hospital of the Future (Fall)
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