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Five Features Of Value-Based Insurance Design Plans Were Associated With Higher Rates Of Medication Adherence

by Matlin, Olga S. , Avorn, Jerry , Girdish, Charmaine , Brennan, Troyen A. , Fischer, Michael A. , Brill, Gregory , Shrank, William H. , Choudhry, Niteesh K. , Smith, Benjamin F.

in Adherence / Benefits / Brand names / Coinsurance / Cost sharing / Diabetes / Disease management / Diseases / Drugs / Generic drugs / Health insurance / Health promotion / High risk / Insurance / Insurance coverage / Patient compliance / Patients / Pharmacy / Pharmacy benefit management / Response rates / Studies / Trends / Wellness programs

2014

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Five Features Of Value-Based Insurance Design Plans Were Associated With Higher Rates Of Medication Adherence

by Matlin, Olga S. , Avorn, Jerry , Girdish, Charmaine , Brennan, Troyen A. , Fischer, Michael A. , Brill, Gregory , Shrank, William H. , Choudhry, Niteesh K. , Smith, Benjamin F.

2014

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Five Features Of Value-Based Insurance Design Plans Were Associated With Higher Rates Of Medication Adherence

by Matlin, Olga S. , Avorn, Jerry , Girdish, Charmaine , Brennan, Troyen A. , Fischer, Michael A. , Brill, Gregory , Shrank, William H. , Choudhry, Niteesh K. , Smith, Benjamin F.

2014

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Journal Article

Five Features Of Value-Based Insurance Design Plans Were Associated With Higher Rates Of Medication Adherence

Matlin, Olga S.,

Avorn, Jerry,

Girdish, Charmaine,

Brennan, Troyen A.,

Fischer, Michael A.,

Brill, Gregory,

Shrank, William H.,

Choudhry, Niteesh K.,

Smith, Benjamin F.

2014

Overview

Value-based insurance design (VBID) plans selectively lower cost sharing to increase medication adherence. Existing plans have been structured in a variety of ways, and these variations could influence the effectiveness of VBID plans. We evaluated seventy-six plans introduced by a large pharmacy benefit manager during 2007-10. We found that after we adjusted for the other features and baseline trends, VBID plans that were more generous, targeted high-risk patients, offered wellness programs, did not offer disease management programs, and made the benefit available only for medication ordered by mail had a significantly greater impact on adherence than plans without these features. The effects were as large as 4-5 percentage points. These findings can provide guidance for the structure of future VBID plans. [PUBLICATION ABSTRACT]

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The People to People Health Foundation, Inc., Project HOPE

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