Value-Based Insurance Design for the Patient-Centered Medical Home Seed Grant Program

In 2012, NBCH launched the Value-Based Insurance Design (VBID) for the Patient-Centered Medical Home (PCMH) Seed Grant Program, in generous partnership with Abbott. The VBID for PCMH Seed Grants will provide coalitions with resources to implement effective VBID strategies to encourage employees to utilize PCMH providers for primary care via member employers' health benefits. Through its nonprofit affiliate organization, Community Coalitions Health Institue (CCHI), NBCH awarded $120,000 to two NBCH member coalitionsThis seed grant program is ongoing.

Resource Materials

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An advanced primary care model in which physicians actively work with patients to help them manage and improve their health status. Also referred to as ""patient-centered medical home."" Definitions of medical home vary, but typically include features such as care coordination, use of healthcare information technology, convenient communication (e.g. email), tracking and acting on gaps in care, and open scheduling.
Value-based insurance design bases an individual's out-of-pocket costs according to the value of a medical service or product for a specific patient population. Although cost-sharing still occurs in this design, it is used to encourage use of the clinical intervention, mitigating adverse health consequences that may lead to even higher cost interventions. The value of the clinical intervention will vary across patient groups and their demographic differences and therefore be subject to different cost-sharing levels.