June 29, 2010 | Doctors, health insurers, consumers and other constituents (including employers) of the U.S. health-care system say they are ready and willing to adopt value-based insurance designs and related payment programs, according to a study commissioned by the TriZetto Group Inc.
These types of designs encourage patients and clinicians to make better choices to improve care based on proven best practices, using both better information and financial incentives.
83% of doctors believe value-based benefits (VBB), which personalize health-plan co-pays and co-insurance to help individuals manage their chronic illnesses, would have a moderate to high effect on selecting care alternatives that are proven effective and cost less. Also:
- 74% of health-care payer executives say VBB would reduce overall health-care costs; 75% believe it would help win more new business.
- 88% of employer executives report they would be encouraged to switch to an insurance company that offers VBB.
- 86% of consumers and 88% of brokers who sell health insurance policies say VBB would encourage people to be healthier and more productive.
The study also found broad support for value-based reimbursement (VBR), models that reimburse physicians for delivering care that complies with proven effective care guidelines, enhances care coordination and improves clinical outcomes: 80% of physicians, 91% of payers, 84% of employers and 82% of brokers believe VBR is somewhat or very important in helping reduce overall health-care costs.
Reliable at a 95% confidence level, the study was conducted as a 60-day online survey and included 1,761 interviews with 157 health-care payers, 200 brokers, 200 employer executives, 203 clinicians and 1,001 consumers.
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