| At Pitney Bowes, value-based insurance design cut copayments and increased drug adherence. | |
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MedLine Citation:
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PMID: 21041738 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To date, there has been little empirical evidence to support the broader use of value-based insurance design, which lowers copayments for services with high value relative to their costs. To address this lack of data, we evaluated the impact of the value-based insurance program of a US corporation, Pitney Bowes. The program eliminated copayments for cholesterol-lowering statins and reduced them for clopidogrel, a blood clot inhibitor. We found that the policy was associated with an immediate 2.8 percent increase in adherence to statins relative to controls, which was maintained for the subsequent year. For clopidogrel, the policy was associated with an immediate stabilizing of the adherence rate and a four-percentage-point difference between intervention and control subjects a year later. Our study thus provides an empirical basis for the use of this approach to improve the quality of health care. |
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Authors:
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Niteesh K Choudhry; Michael A Fischer; Jerry Avorn; Sebastian Schneeweiss; Daniel H Solomon; Christine Berman; Saira Jan; Jun Liu; Joyce Lii; M Alan Brookhart; John J Mahoney; William H Shrank |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Health affairs (Project Hope) Volume: 29 ISSN: 1544-5208 ISO Abbreviation: Health Aff (Millwood) Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-02 Completed Date: 2011-02-22 Revised Date: 2011-04-18 |
Medline Journal Info:
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Nlm Unique ID: 8303128 Medline TA: Health Aff (Millwood) Country: United States |
Other Details:
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Languages: eng Pagination: 1995-2001 Citation Subset: IM |
Affiliation:
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Harvard Medical School, USA. nchoudhry@partners.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cohort Studies Cost Savings* Female Health Benefit Plans, Employee / organization & administration* Humans Insurance, Pharmaceutical Services / economics Male Middle Aged Organizational Case Studies Patient Compliance* Quality Assurance, Health Care / economics* United States |
| Grant Support | |
ID/Acronym/Agency:
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K23 HL090505-05/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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