Value-Based Insurance Plus Disease Management Increased Medication Use And Produced Savings

被引：54

作者：

Gibson, Teresa B. ^{[1
]}

Mahoney, John ^{[2
]}

Ranghell, Karlene ^{[2
]}

Cherney, Becky J. ^{[2
]}

McElwee, Newell ^{[3
]}

机构：

[1] Thomson Reuters, Hlth Outcomes, Ann Arbor, MI USA

[2] Florida Hlth Care Coalit, Orlando, FL USA

[3] Merck & Co Inc, US Outcomes Res, N Wales, PA USA

来源：

HEALTH AFFAIRS | 2011年 / 30卷 / 01期

关键词：

PROPENSITY SCORE; ADHERENCE; DESIGN; IMPACT;

D O I：

10.1377/hlthaff.2010.0896

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We evaluated the effects of implementing a value-based insurance design program for patients with diabetes in two groups within a single firm. One group participated in disease management; the other did not. We matched members of the two groups to similar enrollees within the company that did not offer the value-based program. We found that participation in both value-based insurance design and disease management resulted in sustained improvement over time. Use of diabetes medications increased 6.5 percent over three years. Adherence to diabetes medical guidelines also increased, producing a return on investment of $1.33 saved for every dollar spent during a three-year follow-up period.

引用

页码：100 / 108

页数：9

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