Association of Participation in a Value-Based Insurance Design Program With Health Care Spending and Utilization.

ABSTRACT:

Importance

Value-based insurance design (VBID) has mostly been used in improving medication use and adherence for certain conditions or patients, but its outcomes remain uncertain when applied to other services and to all health plan enrollees.

Objective

To determine the association of participation in a California Public Employees' Retirement System (CalPERS) VBID program with its enrollees' health care spending and utilization.

Design, setting, and participants

A retrospective cohort study with difference-in-differences propensity-weighted 2-part regression models was performed in 2021 to 2022. A VBID cohort was compared with a non-VBID cohort both before and after VBID implementation in California in 2019 with 2 years' follow-up. The study sample included CalPERS p

SUBMITTER: Zhang H 

PROVIDER: S-EPMC10011939 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature