Value-Based Cost Sharing In The United States And Elsewhere Can Increase Patients’ Use Of High-Value Goods And Services
Open Access
- 1 April 2013
- journal article
- review article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 32 (4), 704-712
- https://doi.org/10.1377/hlthaff.2012.0964
Abstract
This article reviews efforts in the United States and several other member countries of the Organization for Economic Cooperation and Development to encourage patients, through cost sharing, to use goods such as medications, services, and providers that offer better value than other options—an approach known as value-based cost sharing. Among the countries we reviewed, we found that value-based approaches were most commonly applied to drug cost sharing. A few countries, including the United States, employed financial incentives, such as lower copayments, to encourage use of preferred providers or preventive services. Evidence suggests that these efforts can increase patients’ use of high-value services—although they may also be associated with high administrative costs and could exacerbate health inequalities among various groups. With careful design, implementation, and evaluation, value-based cost sharing can be an important tool for aligning patient and provider incentives to pursue high-value care.Keywords
This publication has 15 references indexed in Scilit:
- Full Coverage for Preventive Medications after Myocardial InfarctionThe New England Journal of Medicine, 2011
- Evidence That Value-Based Insurance Can Be EffectiveHealth Affairs, 2010
- Steering Patients to Safer Hospitals? The Effect of a Tiered Hospital Network on Hospital AdmissionsHealth Services Research, 2008
- Consumer channeling by health insurers: natural experiments with preferred providers in the Dutch pharmacy marketHealth Economics, 2007
- Prescription Drug Cost SharingJAMA, 2007
- Value-Based Insurance DesignHealth Affairs, 2007
- Unintended Consequences of Caps on Medicare Drug BenefitsThe New England Journal of Medicine, 2006
- Reference Pricing For Drugs: Is It Compatible With U.S. Health Care?Health Affairs, 2003
- Adverse Events Associated With Prescription Drug Cost-Sharing Among Poor and Elderly PersonsJAMA, 2001
- Effect of Cost-sharing on Use of Medically Effective and Less Effective CareMedical Care, 1986