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Patient targeted approaches to pay for performance/value-based insurance design

Doshi J, Foels T, Galvin RS, Rosen A, Volpp K. Patient targeted approaches to pay for performance/value-based insurance design. Paper presented at: AcademyHealth Annual Research Meeting; 2008 Jun 9; Washington, DC.


Roundtable: Individual behavior plays a central role in the disease burden faced by society. Modifiable behaviors such as tobacco use, obesity, and alcohol abuse account for nearly one third of all deaths in the United States. In turn, nonadherence to evidence-based therapies has stymied the potential benefit of some of the most promising advances in medicine, contributing substantially to preventable morbidity and mortality. The vast majority of efforts to provide incentives for better quality have to date targeted providers, leaving consumers an oft forgotten but important target for innovative approaches to targeting incentives to improve patient health and, in turn, the value of health care spending. This session will provide an overview of ongoing patient targeted approaches to pay for performance and the potential for use of these approaches as part of value-based insurance design (VBID). The first set of speakers will discuss the results of ongoing research quantifying the impact of patient targeted incentives on smoking cessation, obesity, and medication adherence from an academic perspective. The second set of speakers will discuss these presentations in the context of what Independence Health and GE are doing and other such initiatives among payors and employers nationally.

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