Learn how to encourage adoption of value-based insurance design (VBID) in our health insurance system. This guide explains options at both the federal and state level. Around the country, advocates working to improve the health outcomes and value that our health care system delivers are exploring ways to implement VBID.
The Medicare Access and CHIP Reauthorization Act (MACRA) is the biggest change to how Medicare pays for services in decades. It will accelerate the movement towards value-based payments—where what health care providers get paid depends, at least partially, on the quality of care they provide, not just the volume of services. On June 27, Families USA submitted comments about how the law will be implemented.
Public and private health insurers can design health plans to promote the use of health care services and providers that offer the best health results, at the best price. Known as value-based insurance design, this approach can improve patients’ health and promote use of high value care.
Last Wednesday, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule to implement key provisions of the Medicare Access & CHIP Reauthorization Act. Passed with bipartisan support in 2015, MACRA represents is an important opportunity to improve the quality of care delivered through Medicare. Given the number of people who are enrolled in Medicare and the number of providers who see Medicare patients, these changes will have a significant impact throughout the entire health care system.
How States Can Fund Community Health Workers through Medicaid to Improve People’s Health, Decrease Costs, and Reduce Disparities
This brief discusses the value of community health workers (CHWs) in improving care while reducing disparities for vulnerable populations. It also walks advocates through how they can get sustainable funding for CHWs in their state.
As drug prices continue to rise at an unsustainable rate, we must ensure that our health care system and its financial incentives enhance the quality and value of care. We believe the Medicare Part B prescription drug model proposed by the Centers for Medicare & Medicaid Services (CMS) creates value for the patient and the program by encouraging treatment choices that have been shown to improve care and health outcomes.
Black History Month inspires us to celebrate the rich history, achievements, and contributions of African Americans in our nation, as well as the hard work that remains to dismantle racism and achieve true racial equality. We agree with Dr. King that fighting injustice in health care is an urgent civil rights issue central to achieving our shared dream of peace, prosperity, and equality for our children. But it is clear that a focus on health care alone will not achieve health equity for African Americans.
Across the country, there is tremendous momentum to change how health care is delivered and paid for in order to improve quality and to curb costs. These initiatives to transform the health system have the potential to improve care for everyone, and could directly address health disparities. Advocates must actively engage in these reform efforts—both to protect communities of color from harm and to take maximum advantage of opportunities to transform health care delivery to better serve people of color.
Explains value-based insurance design and high-value care, outlines the key elements that value-based insurance should include.