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Value Based Insurance Design

Identifying and Limiting Low-Value Care: A Benefit Design Conundrum

Identifying and Limiting Low-Value Care: A Benefit Design Conundrum

Dec 10, 2021 | Access, Featured, Value Based Insurance Design

By Surabhi Dangi-Garimella, PhD Can health care services have low value? Turns out, they do! A service or a treatment that provides no or little benefit to the patient—or worse, might harm the patient—is a low-value service. While we might quickly jump to conclusions...
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Coverage for Preventive Care Is a High-Value Insurance Design

Coverage for Preventive Care Is a High-Value Insurance Design

Oct 21, 2021 | Access, Health Insurance, Value Based Insurance Design

By Surabhi Dangi-Garimella, Ph.D. For more than a decade now, health plans have been modeling their benefit structure to encourage enrollees to use certain “high-value” services—whose clinical benefits supersede the cost—and discourage the use of “low value” services,...
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