With all the discussion around the many different flavors of value-based care, it is easy to forget just how basic that concept can be. Tiered networks are a simple and valuable VBC solution and well worth exploring. Some key questions to consider:
For inspiration, read the Health Affairs article. In a nutshell, the study evaluated the impact of a tiered-network health plan on total health care spending and on inpatient, outpatient, and outpatient radiology spending for enrollees in a commercial health plan from 2008–12. While study authors say the research “adds to the evidence that tiered-network benefit designs have the potential to deliver higher value and be a tool that employers and other payers can use to decrease spending in the US health care system,” they also caution that “the effects of any tiered network plan will depend on the details of tiering.” In other words, the devil’s in the details – as always.
Go to full article: healthaffairs.org