메뉴 건너뛰기




Volumn 33, Issue 2, 2014, Pages 300-308

Value-based insurance design program in North Carolina increased medication adherence but was not cost neutral

Author keywords

[No Author keywords available]

Indexed keywords

ANGIOTENSIN RECEPTOR ANTAGONIST; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM CHANNEL BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; GENERIC DRUG; THIAZIDE DIURETIC AGENT;

EID: 84893544300     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2013.0260     Document Type: Article
Times cited : (37)

References (49)
  • 1
    • 84872179882 scopus 로고    scopus 로고
    • National health spending in 2011: overall growth remains low, but some payers and services show signs of acceleration
    • National Health Expenditure Accounts Team.
    • Hartman M, Martin AB, Benson J, Catlin A, National Health Expenditure Accounts Team. National health spending in 2011: overall growth remains low, but some payers and services show signs of acceleration. Health Aff (Millwood). 2013;32(1): 87-99.
    • (2013) Health Aff (Millwood). , vol.32 , Issue.1 , pp. 87-99
    • Hartman, M.1    Martin, A.B.2    Benson, J.3    Catlin, A.4
  • 2
    • 84874355663 scopus 로고    scopus 로고
    • Kaiser Family Foundation, Health Research and Education Trust. Menlo Park (CA): KFF
    • Kaiser Family Foundation, Health Research and Education Trust. Employer health benefits: 2012 annual survey. Menlo Park (CA): KFF; 2012.
    • (2012) Employer health benefits: 2012 annual survey.
  • 3
    • 0038690424 scopus 로고    scopus 로고
    • Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000
    • Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000. JAMA. 2003;290(2):199-206.
    • (2003) JAMA. , vol.290 , Issue.2 , pp. 199-206
    • Hajjar, I.1    Kotchen, T.A.2
  • 5
    • 4944264204 scopus 로고    scopus 로고
    • Cost-related medication underuse among chronically ill adults: the treatments people forgo, how often, and who is at risk
    • Piette JD, Heisler M, Wagner TH. Cost-related medication underuse among chronically ill adults: the treatments people forgo, how often, and who is at risk. Am J Public Health. 2004;94(10):1782-7.
    • (2004) Am J Public Health. , vol.94 , Issue.10 , pp. 1782-7
    • Piette, J.D.1    Heisler, M.2    Wagner, T.H.3
  • 6
    • 84872839653 scopus 로고    scopus 로고
    • Costrelated nonadherence by medication type among Medicare Part D beneficiaries with diabetes
    • Williams J, Steers WN, Ettner SL, Mangione CM, Duru OK. Costrelated nonadherence by medication type among Medicare Part D beneficiaries with diabetes. Med Care. 2013;51(2):193-8.
    • (2013) Med Care. , vol.51 , Issue.2 , pp. 193-8
    • Williams, J.1    Steers, W.N.2    Ettner, S.L.3    Mangione, C.M.4    Duru, O.K.5
  • 7
    • 34347381507 scopus 로고    scopus 로고
    • Prescription drug cost sharing: associations with medication and medical utilization and spending and health
    • Goldman DP, Joyce GF, Zheng Y. Prescription drug cost sharing: associations with medication and medical utilization and spending and health. JAMA. 2007;298(1): 61-9.
    • (2007) JAMA. , vol.298 , Issue.1 , pp. 61-9
    • Goldman, D.P.1    Joyce, G.F.2    Zheng, Y.3
  • 8
    • 34248578781 scopus 로고    scopus 로고
    • Valuebased insurance design: a "clinically sensitive, fiscally responsible" approach to mitigate the adverse clinical effects of high-deductible consumer-directed health plans
    • Fendrick AM, Chernew ME. Valuebased insurance design: a "clinically sensitive, fiscally responsible" approach to mitigate the adverse clinical effects of high-deductible consumer-directed health plans. J Gen Intern Med. 2007;22(6):890-1.
    • (2007) J Gen Intern Med. , vol.22 , Issue.6 , pp. 890-1
    • Fendrick, A.M.1    Chernew, M.E.2
  • 9
    • 79952277349 scopus 로고    scopus 로고
    • Applying value-based insurance design to low-value health services
    • Fendrick AM, Smith DG, Chernew ME. Applying value-based insurance design to low-value health services. Health Aff (Millwood). 2010;29(11): 2017-21.
    • (2010) Health Aff (Millwood). , vol.29 , Issue.11 , pp. 2017-21
    • Fendrick, A.M.1    Smith, D.G.2    Chernew, M.E.3
  • 10
  • 11
    • 79952276257 scopus 로고    scopus 로고
    • Copayment reductions generate greater medication adherence in targeted patients
    • Maciejewski ML, Farley JF, Parker J, Wansink D. Copayment reductions generate greater medication adherence in targeted patients. Health Aff (Millwood). 2010;29(11):2002-8.
    • (2010) Health Aff (Millwood). , vol.29 , Issue.11 , pp. 2002-8
    • Maciejewski, M.L.1    Farley, J.F.2    Parker, J.3    Wansink, D.4
  • 13
    • 34247512534 scopus 로고    scopus 로고
    • Economic and clinical impact of innovative pharmacy benefit designs in the management of diabetes pharmacotherapy.
    • Berger J. Economic and clinical impact of innovative pharmacy benefit designs in the management of diabetes pharmacotherapy. Am J Manag Care. 2007;13(Suppl 2):S55-8.
    • (2007) Am J Manag Care. , vol.13 , Issue.SUPPL. 2
    • Berger, J.1
  • 14
    • 77956360952 scopus 로고    scopus 로고
    • The impact of value-based benefit design on adherence to diabetes medications: a propensity score-weighted difference in difference evaluation
    • Zeng F, An JJ, Scully R, Barrington C, Patel BV, Nichol MB. The impact of value-based benefit design on adherence to diabetes medications: a propensity score-weighted difference in difference evaluation. Value Health. 2010;13(6):846-52.
    • (2010) Value Health. , vol.13 , Issue.6 , pp. 846-52
    • Zeng, F.1    An, J.J.2    Scully, R.3    Barrington, C.4    Patel, B.V.5    Nichol, M.B.6
  • 15
    • 32944480072 scopus 로고    scopus 로고
    • Reducing patient drug acquisition costs can lower diabetes health claims.
    • Mahoney JJ. Reducing patient drug acquisition costs can lower diabetes health claims. Am J Manag Care. 2005;11(5 Suppl):S170-6.
    • (2005) Am J Manag Care. , vol.11 , Issue.5 SUPPL.
    • Mahoney, J.J.1
  • 16
    • 74049098412 scopus 로고    scopus 로고
    • Plan designs that encourage the use of generic drugs over brand-name drugs: an analysis of a free generic benefit
    • Rodin HA, Heaton AH, Wilson AR, Garrett NA, Plocher DW. Plan designs that encourage the use of generic drugs over brand-name drugs: an analysis of a free generic benefit. Am J Manag Care. 2009;15(12): 881-8.
    • (2009) Am J Manag Care. , vol.15 , Issue.12 , pp. 881-8
    • Rodin, H.A.1    Heaton, A.H.2    Wilson, A.R.3    Garrett, N.A.4    Plocher, D.W.5
  • 17
  • 21
    • 79951597073 scopus 로고    scopus 로고
    • Value-based insurance plus disease management increased medication use and produced savings
    • Gibson TB, Mahoney J, Ranghell K, Cherney BJ, McElwee N. Value-based insurance plus disease management increased medication use and produced savings. Health Aff (Millwood). 2011;30(1):100-8.
    • (2011) Health Aff (Millwood). , vol.30 , Issue.1 , pp. 100-8
    • Gibson, T.B.1    Mahoney, J.2    Ranghell, K.3    Cherney, B.J.4    McElwee, N.5
  • 22
    • 79951590391 scopus 로고    scopus 로고
    • A value-based insurance design program at a large company boosted medication adherence for employees with chronic illnesses
    • Gibson TB, Wang S, Kelly E, Brown C, Turner C, Frech-Tamas F, et al. A value-based insurance design program at a large company boosted medication adherence for employees with chronic illnesses. Health Aff (Millwood). 2011;30(1):109-17.
    • (2011) Health Aff (Millwood). , vol.30 , Issue.1 , pp. 109-17
    • Gibson, T.B.1    Wang, S.2    Kelly, E.3    Brown, C.4    Turner, C.5    Frech-Tamas, F.6
  • 23
    • 84867850477 scopus 로고    scopus 로고
    • The impact of reducing cardiovascular medication copayments on health spending and resource utilization.
    • Choudhry NK, Fischer MA, Avorn JL, Lee JL, Schneeweiss S, Solomon DH, et al. The impact of reducing cardiovascular medication copayments on health spending and resource utilization. J Am Coll Cardiol. 2012; 60(18):1817-24.
    • (2012) J Am Coll Cardiol , vol.60 , Issue.18 , pp. 1817-24
    • Choudhry, N.K.1    Fischer, M.A.2    Avorn, J.L.3    Lee, J.L.4    Schneeweiss, S.5    Solomon, D.H.6
  • 24
    • 84867715386 scopus 로고    scopus 로고
    • The effect of a large regional health plan's value-based insurance design program on statin use
    • Frank MB, Fendrick AM, He Y, Zbrozek A, Holtz N, Leung S, et al. The effect of a large regional health plan's value-based insurance design program on statin use. Med Care. 2012;50(11):934-9.
    • (2012) Med Care. , vol.50 , Issue.11 , pp. 934-9
    • Frank, M.B.1    Fendrick, A.M.2    He, Y.3    Zbrozek, A.4    Holtz, N.5    Leung, S.6
  • 26
    • 79952609487 scopus 로고    scopus 로고
    • What do we really know about VBID? Quality of the evidence and ethical considerations for health plan sponsors.
    • Fairman KA, Curtiss FR.What do we really know about VBID? Quality of the evidence and ethical considerations for health plan sponsors. J Manag Care Pharm. 2011;17(2): 156-74.
    • (2011) J Manag Care Pharm. , vol.17 , Issue.2 , pp. 156-74
    • Fairman, K.A.1    Curtiss, F.R.2
  • 27
    • 79953327561 scopus 로고    scopus 로고
    • Prevalence of hypertension and controlled hypertension-United States, 2005-2008.
    • Keenan NL, Rosendorf KA. Prevalence of hypertension and controlled hypertension-United States, 2005-2008. MMWR Surveill Summ. 2011; 60(Suppl):94-7.
    • (2011) MMWR Surveill Summ. , vol.60 , Issue.SUPPL.
    • Keenan, N.L.1    Rosendorf, K.A.2
  • 28
    • 84871511126 scopus 로고    scopus 로고
    • Deaths: preliminary data for 2011
    • Hoyert DL, Xu J. Deaths: preliminary data for 2011. Natl Vital Stat Rep. 2012;61(6):1-51.
    • (2012) Natl Vital Stat Rep. , vol.61 , Issue.6 , pp. 1-51
    • Hoyert, D.L.1    Xu, J.2
  • 29
    • 84855353573 scopus 로고    scopus 로고
    • Heart disease and stroke statistics- 2012 update: a report from the American Heart Association.
    • Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics- 2012 update: a report from the American Heart Association. Circulation. 2012;125(1):e2-220.
    • (2012) Circulation. , vol.125 , Issue.1
    • Roger, V.L.1    Go, A.S.2    Lloyd-Jones, D.M.3    Benjamin, E.J.4    Berry, J.D.5    Borden, W.B.6
  • 30
    • 84872091789 scopus 로고    scopus 로고
    • Heart disease and stroke statistics- 2013 update: a report from the American Heart Association.
    • Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics- 2013 update: a report from the American Heart Association. Circulation. 2013;127(1):e6-245.
    • (2013) Circulation. , vol.127 , Issue.1
    • Go, A.S.1    Mozaffarian, D.2    Roger, V.L.3    Benjamin, E.J.4    Berry, J.D.5    Borden, W.B.6
  • 31
    • 84893545265 scopus 로고    scopus 로고
    • (Commonwealth Fund, New York, NY). civilian noninstitutionalized population [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2013 Apr [cited 2013 Dec 23]. (Statistical Brief No. 404). Available from:
    • Davis KE (Commonwealth Fund, New York, NY). Expenditures for hypertension among adults age 18 and older, 2010: estimates for the U.S. civilian noninstitutionalized population [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2013 Apr [cited 2013 Dec 23]. (Statistical Brief No. 404). Available from: http:// meps.ahrq.gov/mepsweb/data_ files/publications/st404/stat404 .shtml
    • Expenditures for hypertension among adults age 18 and older, 2010: estimates for the U.S.
    • Davis, K.E.1
  • 32
    • 84893580676 scopus 로고    scopus 로고
    • Optuminsight. Transparency: measuring and improving the quality and efficiency of health care [Internet]. Eden Prairie (MN): Optuminsight; [cited 2013 Dec 23]. Available from:
    • Optuminsight. Transparency: measuring and improving the quality and efficiency of health care [Internet]. Eden Prairie (MN): Optuminsight; [cited 2013 Dec 23]. Available from: http://www.optumin sight.com/transparency/etg-links/
  • 33
    • 84893524525 scopus 로고    scopus 로고
    • To access the Appendix, click on the Appendix link in the box to the right of the article online.
    • To access the Appendix, click on the Appendix link in the box to the right of the article online.
  • 34
    • 1542308365 scopus 로고    scopus 로고
    • Reducing bias in a propensity score matched-pair sample using GREEDY matching techniques.
    • In: SUGI 26 proceedings [Internet]. Cary (NC): SAS; [cited 2013 Dec 23]. Available from:
    • Parsons LS. Reducing bias in a propensity score matched-pair sample using GREEDY matching techniques. In: SUGI 26 proceedings [Internet]. Cary (NC): SAS; [cited 2013 Dec 23]. Available from: http:// www2.sas.com/proceedings/ sugi26/p214-26.pdf
    • Parsons, L.S.1
  • 35
    • 77958523826 scopus 로고    scopus 로고
    • Statistical criteria for selecting the optimal number of untreated subjects matched to each treated subject when using many-toone matching on the propensity score
    • Austin PC. Statistical criteria for selecting the optimal number of untreated subjects matched to each treated subject when using many-toone matching on the propensity score. Am J Epidemiol. 2010;172(9): 1092-7.
    • (2010) Am J Epidemiol. , vol.172 , Issue.9 , pp. 1092-7
    • Austin, P.C.1
  • 36
    • 79951624338 scopus 로고    scopus 로고
    • Medication adherence leads to lower health care use and costs despite increased drug spending
    • Roebuck MC, Liberman JN, Gemmill-Toyama M, Brennan TA. Medication adherence leads to lower health care use and costs despite increased drug spending. Health Aff (Millwood). 2011;30(1):91-9.
    • (2011) Health Aff (Millwood). , vol.30 , Issue.1 , pp. 91-9
    • Roebuck, M.C.1    Liberman, J.N.2    Gemmill-Toyama, M.3    Brennan, T.A.4
  • 37
    • 84971580244 scopus 로고
    • Absence of evidence is not evidence of absence B.M.J.
    • Altman DG, Bland JM. Absence of evidence is not evidence of absence BMJ. 1995;311(7003):485.
    • (1995) , vol.311 , Issue.7003 , pp. 485
    • Altman, D.G.1    Bland, J.M.2
  • 38
    • 77950462414 scopus 로고    scopus 로고
    • The specter of financial armageddon- health care and federal debt in the United States.
    • Chernew ME, Baicker K, Hsu J. The specter of financial armageddon- health care and federal debt in the United States. N Engl J Med. 2010; 362(13):1166-8.
    • (2010) N Engl J Med. , vol.362 , Issue.13 , pp. 1166-8
    • Chernew, M.E.1    Baicker, K.2    Hsu, J.3
  • 39
    • 77952295568 scopus 로고    scopus 로고
    • Health care is different- that's why expenditures matter
    • Fuchs VR. Health care is different- that's why expenditures matter. JAMA. 2010;303(18):1859-60.
    • (2010) JAMA. , vol.303 , Issue.18 , pp. 1859-60
    • Fuchs, V.R.1
  • 40
  • 41
    • 84893619216 scopus 로고    scopus 로고
    • Aetna. Hartford (CT): Aetna; c2001-14 [Internet]. Press release, Aetna launching value-based program that improves medication adherence, cost and outcomes for members who have suffered from heart attacks; 2011 Nov 14 [cited 2013 Dec 23]. Available from:
    • Aetna. Hartford (CT): Aetna; c2001-14 [Internet]. Press release, Aetna launching value-based program that improves medication adherence, cost and outcomes for members who have suffered from heart attacks; 2011 Nov 14 [cited 2013 Dec 23]. Available from: http://www.aetna .com/news/newsReleases/2011/ 1114-AetnaRx-HealthyOutcomes .html
  • 43
    • 84893600013 scopus 로고    scopus 로고
    • Department of Health and Human Services. Washington (DC): HHS; [cited 2014 Jan 3]. Available from:
    • Department of Health and Human Services. What are my preventive care benefits? [Internet]. Washington (DC): HHS; [cited 2014 Jan 3]. Available from: https://www.health care.gov/what-are-my-preventivecare-benefits/
    • What are my preventive care benefits? [Internet].
  • 45
    • 84930478954 scopus 로고    scopus 로고
    • Effect of cost-sharing reductions on preventive service use among Medicare feefor-service beneficiaries.
    • Goodwin SM, Anderson GF. Effect of cost-sharing reductions on preventive service use among Medicare feefor-service beneficiaries. Medicare Medicaid Res Rev. 2012;2(1):E1-25.
    • (2012) Medicare Medicaid Res Rev. , vol.2 , Issue.1
    • Goodwin, S.M.1    Anderson, G.F.2
  • 47
    • 84893552386 scopus 로고    scopus 로고
    • Medicare Payment Advisory Commission. Washington (DC): MedPAC; 2011 Jun [cited 2013 Dec 23]. Available from:
    • Medicare Payment Advisory Commission. Report to the Congress: Medicare and the health care delivery system [Internet]. Washington (DC): MedPAC; 2011 Jun [cited 2013 Dec 23]. Available from: http:// www.medpac.gov/documents/ jun11_entirereport.pdf
    • Report to the Congress: Medicare and the health care delivery system [Internet].
  • 48
    • 84880192438 scopus 로고    scopus 로고
    • Medicaid and Children's Health Insurance Programs: essential health benefits in alternative benefit plans, eligibility notices, fair hearing and appeal processes, and premiums and cost sharing; exchanges: eligibility and enrollment
    • Centers for Medicare and Medicaid Services.
    • Centers for Medicare and Medicaid Services. Medicaid and Children's Health Insurance Programs: essential health benefits in alternative benefit plans, eligibility notices, fair hearing and appeal processes, and premiums and cost sharing; exchanges: eligibility and enrollment. Fed Regist. 2013;78(135):42159-322.
    • (2013) Fed Regist. , vol.78 , Issue.135 , pp. 42159-322
  • 49
    • 84883799495 scopus 로고    scopus 로고
    • Encouraging value-based insurance designs in state health insurance exchanges
    • Buttorff C, Tunis SR, Weiner JP. Encouraging value-based insurance designs in state health insurance exchanges. Am J Manag Care. 2013;19(7):593-600.
    • (2013) Am J Manag Care. , vol.19 , Issue.7 , pp. 593-600
    • Buttorff, C.1    Tunis, S.R.2    Weiner, J.P.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.