What do we really know about VBID? Quality of the evidence and ethical considerations for health plan sponsors.

摘要

The AHRQ's envisioned role for accurate and transparent data in developing and monitoring a redesigned health care system represents an optimal scenario-if health care research "builds it," policymakers "will come." Yet, the ways in which health plan sponsors actually obtain and use information in making benefit design decisions may not match this expectation. A Diamond Management/Willis North America survey of large and small employers in a variety of industry sectors, conducted after passage of the Patient Protection and Affordable Care Act (PPACA) using an unreported sampling methodology, found that a slight majority (736 of 1,400, 52.6%) of respondents cited "in-house personnel" as their primary source of information about "the health care reform statute or regulations."2 Insurance brokers and carriers were cited as a primary information source by 25.1% and 6.6%, respectively. Only 5.2% said that their primary information source was "free resources and tools as published by government agencies."