State Insurance Exchanges Face Challenges In Offering Standardized Choices Alongside Innovative Value-Based Insurance.

Value-based insurance is a relatively new approach to health insurance in which financial barriers, such as copayments, are lowered for clinical services that are considered high value, while consumer cost sharing may be increased for services considered to be of uncertain value. Such plans are comp...

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Publicado en:Health Affairs Vol. 32; no. 2; pp. 418 - 427
Autores principales: Corlette, Sabrina, Downs, David, Monahan, Christine H., Yondorf, Barbara
Formato: Journal Article
Publicado: Health Affairs Publishing, LLC Feb2013
Acceso en línea:Ver este registro en EBSCOhost
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        atl: State Insurance Exchanges Face Challenges In Offering Standardized Choices Alongside Innovative Value-Based Insurance.
      aug:
        au:
          Corlette, Sabrina
          Downs, David
          Monahan, Christine H.
          Yondorf, Barbara
        affil: Project director and research professor, Center on Health Insurance Reforms, Health Policy Institute, Georgetown University, Washington, D.C.
      sug:
        subj:
          Insurance, Health Standards
          Marketing Methods
          State Government
          Patient Protection and Affordable Care Act
          Diffusion of Innovation
          Economic Competition
          Decision Making, Patient
          Consumer Health Information
          Insurance Benefits Standards
      ab: Value-based insurance is a relatively new approach to health insurance in which financial barriers, such as copayments, are lowered for clinical services that are considered high value, while consumer cost sharing may be increased for services considered to be of uncertain value. Such plans are complex and do not easily fit into the simplified, consumer-friendly comparison tools that many state health insurance exchanges are formulating for use in 2014. Nevertheless some states and plans are attempting to strike the right balance between a streamlined health exchange shopping experience and innovative, albeit complex, benefit design that promotes value. For example, agencies administering exchanges in Vermont and Oregon are contemplating offering value-based insurance plans as an option in addition to a set of standardized plans. In the postreform environment, policy makers must find ways to present complex value-based insurance plans in a way that consumers and employers can more readily understand.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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