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Health Plan Strategies for Value-Based Benefit Design examines the experiences of health plans and employers that have implemented value-based benefit design programs, and provides details of how companies adjusted copays and other benefits, provided incentives to join disease management programs, educated enrollees and measured results. More health plans and self-insured employers are implementing value-based insurance design (VBID) programs that lower financial barriers to “high-value” pharmaceuticals, preventive care and other services in the hopes of avoiding more expensive medical costs down the road. These programs aren’t without challenges, both in implementation and measurement of results, and some industry experts contend that achieving a return on investment under a value-based program can be elusive. But some early adopters of these programs tell a different story. Health Plan Strategies for Value-Based Benefit Design is filled with case studies from health plans and employers that have implemented value-based programs. The report also includes detailed presentations from pioneers in the VBID movement, with best practices — and key pitfalls to avoid — when launching a new program. Learn the lessons of early VBID implementers — what works and what doesn’t? Order Health Plan Strategies for Value-Based Benefit Design and get the results of experiments in value-based benefit design programs that can put you on the path to realizing long-term savings.
This book was written by the editorial staff of AIS. The presentation from Pitney Bowes Inc. was written by Jack Mahoney, M.D., corporate medical director and global health care management director. He also is chief medical officer at the recently formed Center for Health Value Innovation. In his role at Pitney Bowes, Dr. Mahoney has oversight of all clinical support services. He is responsible for strategic health initiatives such as designing health benefits for employees and integrating disability and disease management and wellness initiatives. Prior to joining Pitney Bowes, Dr. Mahoney was vice president of integrated health management at Aetna Inc., where he was responsible for integrating all health-related employee programs within Aetna to achieve improved productivity and effectiveness of employees through organizational and individual health. The presentation from WellPoint, Inc. was written by Brian Sweet,chief pharmacy officer. He is responsible for overseeing all clinical pharmacy services of the 36-million-member health-benefits company, headquartered in Indianapolis. Mr. Sweet is involved with developing WellPoint’s clinical product line, aligning strategic partnerships with pharmacy-based organizations, and overseeing pharmacy programs for WellPoint nationally. Prior to joining WellPoint, Mr. Sweet had experience in a staff-model HMO, an independent practice association (IPA) HMO and in the PBM industry. Mr. Sweet also has authored formulary and clinical pharmacy intervention program successes in various managed care settings.
Executives, pharmacy directors, medical officers, clinical services directors, product developers, marketing directors, financial managers, actuaries, consultants and contracting officers at:
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