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Sage Social Science Thesaurus

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... > medicine > clinical medicine > medical decision making > basis for making the decision > value-based insurance design

... > medicine > clinical medicine > medical decision making > basis for making the decision > value-based insurance design

Preferred term

value-based insurance design

Definition

A value-based insurance design is a health insurance policy where selection of services and payment for services are decided by evaluating clinical benefit as well as cost, where decision making is condition specific if not patient specific, and where the evaluation process takes into consideration multiple time periods. It is not the value of the service to the provider, the clinical developer, or the payers that matters but the clinical benefit and costs to the patient and society. [Source: Encyclopedia of Medical Decision Making; Value-Based Insurance Design]

Broader concept

basis for making the decision

Belongs to group

concepts

URI

https://concepts.sagepub.com/social-science/concept/value-based_insurance_design

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