HealthLeaders InterStudy publishes a journal, California Health Plan Analysis, which regularly reviews trends in the nation’s largest state. Value-based innovations took a leading role in the spring 2009 issue:
So far, VBID has been pioneered by the largest companies that self-insure their workers, taking on the financial risk of managing employees’ care and paying health plans a fee to provide administrative services. The idea is that by removing cost barriers to medications, it is more likely that employees will take them, heading off higher healthcare costs down the road.
But it’s very unusual for such a plan to be offered for fully insured customers, where the health plan is on the hook for paying the medical claims, said Cyndy Nayer, president and cofounder of the Center for Health Value Innovation.
“I strongly support what they’re doing because it’s the right thing to do for the plan, for the employer, for the physician and ultimately for the patient,” she said. The Center has been pushing value-based design for the broad array of chronic-care management and individual health-management programs.
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Tags: blue shield, california, diabetes, prevention, wellness
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