Health Plan Capabilities to Support Value Based Benefit Design

View PDF

Author: Houy, M.

Publication: November 2009

Size: 24 pages (PDF with cover)

To assist employers in understanding how to more effectively work with their health plans to implement programs to lower costs, the non-profit National Business Coalition on Health (NBCH), with funding support from the National Pharmaceutical Council, developed a guide around health plan capabilities to support Value Based Benefit Design (VBBD). VBBD is a purchaser strategy which incorporates focused consumer incentives into health plan and related benefits to steer consumers to better health and lifestyle decisions.

This report highlights data reported by health plans that participate in eValue8TM. NBCH’s eValue8 is the nation’s leading standardized Request for Information (RFI) tool used by employers and coalitions to gather health care data from more than 70 HMO and PPO health plans. More than 96 million Americans, or about two-thirds of those insured by employers, are members of health plans that respond to eValue8.

Related Materials:

• Value-Based Insurance Design Landscape Digest