SIMPMO: VBID Fully Insured Employer Manual

Value Based Insurance Design Consortium

{Value-Based Insurance Design Employer Manual for Fully Insured Employers}

The State Innovation Model Program Management Office and the Office of the State Comptroller seek public comment on the recommendations of the Value Based Insurance Design Consortium regarding a draft Employer Manual for Fully-Insured Employers. Value-based insurance design (V-BID) is an innovative insurance strategy that seeks to improve health and control rising health care costs by promoting the use of high value services and providers through consumer incentives. High-value services are those that have a strong evidence-base, enhance clinical outcomes, and increase efficiency. V-BID plans utilize “clinical nuance”, a concept that recognizes that medical services differ in the benefit provided, and that the clinical benefit derived from a specific service depends on the patient using it, as well as when, where, and by whom the service is provided. The aim of V-BID is to increase healthcare quality and use healthcare dollars more effectively by implementing differential cost sharing for consumers to promote use of high value services and providers, and decrease use of low value services.

The manual can be accessed by section as follows.

Instruction for Providing Comment
  • Written comments, questions, and concerns regarding these recommendations may be submitted until November 25, 2016 to the SIM Program Management Office at
  • When submitting correspondence, please reference "VBID Manual" in the subject line.
  • If you are providing comments on behalf of an organization, please include the organization's name and your contact information.
  • If you are commenting as an individual, please include your contact information.

Content Last Modified on 10/27/2016 11:52:40 AM