Value-Based Insurance Design
Value Based Insurance Design
UHCAN Ohio’s Affordability Project exists to learn from consumers managing chronic illness how their health insurance does or doesn’t protect them from high co-pays and deductibles. With the Affordable Care Act, the insurance market has changed dramatically. People who used to be priced out of the insurance market altogether due to a “pre-existing condition” are now able to secure coverage. However, both Marketplace (“Obamacare”) plans and other health plans in the individual, employer/retiree, and self-insured markets shift more of their costs to people they are insuring. Co-pays and deductibles run so high that the insured consumer still struggles to get the care they need.
We hope to change insurance company benefit design systems so that people with chronic illness can better manage their illness. We are focusing on a concept called Value-Based Insurance Design (V-BID). V-BID is an approach to designing a health insurance plan so that what the insured person should do (such as taking medicine and seeing their primary care doctor) is more affordable. V-BID is catching on around the country.
Robert Wood Johnson Foundation.