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Aon Hewitt briefs board on value‑based insurance design; members ask how it affects member costs
Summary
Aon Hewitt gave an educational briefing on value‑based insurance design (VBID), describing service‑, condition‑, and participation‑based strategies; board members asked whether vendor examples translate into reduced member cost sharing.
Anne Thompson of Aon Hewitt presented a primer on value‑based insurance design (VBID), explaining three approaches: service‑based (steering to centers of excellence), condition‑based (reducing co‑pays for patients with specific chronic conditions) and participation‑based incentives (lower cost sharing for participation in programs such as tobacco cessation).
Thompson reported on examples from the three medical carriers: Kaiser (disease management, centers of excellence and culturally competent care), UnitedHealthcare (cancer resource center, tiered benefits, disease management) and Blue Shield (exploring pilots and incentives for 2017). Board members questioned whether the materials demonstrated direct reductions in member co‑pays or only described vendor programs; presenters acknowledged VBID can mean different things to different vendors and cited examples where waiving co‑pays for chronic medications has been used to improve adherence in other systems.
The session was framed as educational; no policy action was taken.
