NDLI: At Pitney Bowes, value-based insurance design cut copayments and increased drug adherence.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Choudhry, Niteesh K. Fischer, Michael A. Avorn, Jerry Schneeweiss, Sebastian Solomon, Daniel H. Berman, Christine Jan, Saira Liu, Jun Lii, Joyce Brookhart, M. Alan Mahoney, John J. Shrank, William H.
Spatial Coverage	United States
Description	Country affiliation: United States Author Affiliation: Choudhry NK ( Harvard Medical School, USA. nchoudhry@partners.org)
Abstract	To date, there has been little empirical evidence to support the broader use of value-based insurance design, which lowers copayments for services with high value relative to their costs. To address this lack of data, we evaluated the impact of the value-based insurance program of a US corporation, Pitney Bowes. The program eliminated copayments for cholesterol-lowering statins and reduced them for clopidogrel, a blood clot inhibitor. We found that the policy was associated with an immediate 2.8 percent increase in adherence to statins relative to controls, which was maintained for the subsequent year. For clopidogrel, the policy was associated with an immediate stabilizing of the adherence rate and a four-percentage-point difference between intervention and control subjects a year later. Our study thus provides an empirical basis for the use of this approach to improve the quality of health care.
File Format	HTM / HTML
ISSN	02782715
Issue Number	11
Volume Number	29
e-ISSN	15445208
Journal	Health Affairs
Language	English
Publisher	Project HOPE
Publisher Date	2010-11-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Economics Research Support, Non-u.s. Gov't Discipline Health Care United States Humans Middle Aged Health Benefit Plans, Employee Insurance, Pharmaceutical Services Male Quality Assurance, Health Care Journal Article Cost Savings Organization & Administration Female Discipline Medicine Patient Compliance Cohort Studies Organizational Case Studies
Content Type	Text
Resource Type	Article
Subject	Health Policy

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