Case Studies
Learn how others are improving health and reducing the costs of healthcare with value-based health management programs.
» The BRiDGE Project » City of Asheville » Diabetes Ten City Challenge » Pitney BowesMeasuring Value
Take the BeneFIT Design™ Assessment to see how well your health management initiatives are aligned with value-based practices.
What Is VBHM?
Value-Based Health Management (VBHM) is a strategic approach to employee benefits. VBHM is the planning, design, implementation, administration, and evaluation of health management practices grounded in evidence-based guidelines across the healthcare continuum.
Principles of Value-Based Health Management
These principles define how VBHM helps control company healthcare costs by focusing on employee benefits.
- Remove barriers
Barriers to access such as high out-of-pocket costs (ie, copays, coinsurance) and limited formulary coverage can keep people from getting the care they need, potentially leading to disease progression and more costly interventions. Providing access and incentives by waiving or reducing out-of-pocket costs can help people get the treatment they need and stay with it. Access to care can keep people healthier longer and keep chronic diseases from getting worse and more expensive.
- Integrate Care Management
Create and integrate “care teams”—physicians, pharmacists, nurses, and health coaches who support employees in wellness, medical decision-making, and care/disease management. This approach helps employees and their dependents better manage their health conditions, reduce excess health risks, achieve desired clinical outcomes, and improve quality of life.
- Focus on prevention
Provide employees access to preventive care such as smoking cessation programs, weight management and nutrition classes, vaccination programs, and screenings to help prevent chronic health problems before they start.
Why VBHM Matters
VBHM is critical to the reduction of cost and/or access barriers. When the appropriate investments in health management practices are made, there's a greater total value to the organization. This can help reduce trends in direct healthcare spending and productivity-related losses due to:
- Sick days
- Disability
- Workers' compensation
- Employee turnover
- Presenteeism
Review the monograph Total Value, Total Return™ and the 7-rule foundation for creating a VBHM strategy.