The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Value-Based Insurance Design: By abandoning the archaic principle that all services must cost the same for all patients, we can move to a high-value health system.
Abstract
When everyone is required to pay the same out-of-pocket amount for health care services whose benefits depend on patient characteristics, there is enormous potential for both under- and overuse. Unlike most current health plan designs, Value-Based Insurance Design (VBID) explicitly acknowledges and responds to patient heterogeneity. It encourages the use of services when the clinical benefits exceed the cost and likewise discourages the use of services when the benefits do not justify the cost. This paper makes the case for VBID and outlines current VBID initiatives in the private sector as well as barriers to further adoption.
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Citations
Cites
Cranor, C. W., Bunting, B. A., & Christensen, D. B. (2003) · Journal of the American Pharmaceutical Association (1996) · doi:10.1331/108658003321480713 · Cited by 728
Cited by
McWilliams, J. M., Meara, E., Zaslavsky, A. M., & Ayanian, J. Z. (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-150-8-200904210-00005 · Cited by 315
The impact of health care reform on hospital and preventive care: Evidence from Massachusetts
Kolstad, J. T., & Kowalski, A. E. (2012) · Journal of Public Economics · doi:10.1016/j.jpubeco.2012.07.003 · Cited by 281
Behavioral Hazard in Health Insurance *
Baicker, K., Mullainathan, S., & Schwartzstein, J. (2015) · The Quarterly Journal of Economics · doi:10.1093/qje/qjv029 · Cited by 247
Diabetes Ten City Challenge: Final economic and clinical results
Fera, T., Bluml, B. M., & Ellis, W. M. (2009) · Journal of the American Pharmacists Association · doi:10.1331/japha.2009.09015 · Cited by 218
Metadata
- Authors
- Chernew, M. E., Rosen, A. B., & Fendrick, A. M.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2007-01
- Volume
- 26
- Issue
- Suppl2
- Pages
- w195-w203
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2129906534
- Cited by
- 344
- References
- 1
- FWCI
- 67.83
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Value-Based Insurance Design: By abandoning the archaic principle that all services must cost the same for all patients, we can move to a high-value health system. https://app.cochat.ai/papers/10.1377/hlthaff.26.2.w195
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- Chernew, M. E., Rosen, A. B., & Fendrick, A. M. (2007). Value-Based Insurance Design: By abandoning the archaic principle that all services must cost the same for all patients, we can move to a high-value health system. Health Affairs. https://doi.org/10.1377/hlthaff.26.2.w195
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.