Tag Archives: value-based insurance design

Health Insurance Benefits Should Be Equitable, Not Necessarily Equal

Coverage arrangements in most insurance plans are designed under principles of equality rather than equity. To fully realize the benefits of medical advances, ensure access for those who could benefit most, and enhance the efficiency of our health care expenditures, we need to change this paradigm.

May 22, 2017

Innovation In Serious Illness Care Payment: Progress To Date And Opportunities For The New Administration

Discern Health recently developed a framework of principles for payment models to promote the delivery of community-based, comprehensive, high-quality, affordable serious illness care. Here are some key opportunities for policymakers to continue progress toward high-value care for the seriously ill.

March 8, 2017

Value Assessment Frameworks: How Can They Meet The Challenge?

A variety of value assessment frameworks have been developed to compare the health and economic impacts of drugs and other interventions. Are these frameworks ready for the task? If not, what is needed?

March 2, 2017

How Californians Could Benefit From ACA ‘Repeal And Replace’

There are at least two major areas where California could cooperate with the Trump Administration and the Republican Congress: improving coverage and access for the working poor, and controlling health care costs.

February 9, 2017

The Need For Additional Flexibility In Medicare Advantage

While social determinants of health are often addressed outside of the health care system, there is evidence that shows positive associations between social services spending and better health outcomes.

August 29, 2016

Three Steps Congress Can Take To Accelerate Medicare’s Delivery Transformation

Underlying Medicare law was built for a purely fee-for-service system. As alternative payment models evolve and grow, they are encountering significant statutory barriers to their success — barriers that only Congress can bring down.

August 2, 2016

Value Based Reimbursement: The Rock Thrown Into The Health Care Pond

The current direction of reimbursement policy is clear and we can see its ripples spreading across the health care pond. Rather than paying for standard, piecemeal work, providers and clinicians seeking economic success will have to deliver value through high-quality services.

July 8, 2016