The guide defines value-based plan design as the explicit use of plan incentives to encourage enrollee adoption of one or more of the following:
• Appropriate use of high-value services, including certain prescription drugs and preventive services.
• Adoption of healthy lifestyles, such as smoking cessation or increased physical activity.
• Use of high-performance providers who adhere to evidence-based treatment guidelines.
The guide was developed with financial support from drugmaker Sanofi-aventis and was written by Margaret Houy, a senior consultant with Bailit Health Purchasing.