(Press-News.org) ANN ARBOR—A new bill introduced in Congress with bipartisan support would allow Medicare to test a concept born from University of Michigan research, which could improve the health of patients with chronic illness while reducing what they spend on the medicines and tests they need most.
The bill, introduced last week by U.S. Reps. Diane Black and Earl Blumenauer, grew out of a decade of work by health policy researchers affiliated with the U-M's Institute for Healthcare Policy and Innovation. It would allow Medicare Advantage plans to use innovative "value-based" insurance designs that could save both the federal government and patients money.
It's the most recent example of how the products of U-M health research are informing national and state policies and legislation—a key emphasis for the university's Institute for Healthcare Policy and Innovation.
The bill, H.R. 5183, even carries the U-M-developed concept in its name: the Value-Based Insurance Design (VBID) for Better Care Act of 2014. The sponsors specifically credit the U-M V-BID Center for the policy work that underpins their proposal.
The V-BID Center's faculty and staff, based in the U-M School of Public Health and Medical School, have also worked with numerous private and public payers, employers, unions and business coalitions nationwide. Together, they've proven a central V-BID premise: that reducing out-of-pocket costs for selected high-value medical services for certain patients can improve health outcomes, reduce disparities and potentially slow the growth of health care costs.
For instance, Pitney Bowes, a Fortune 500 company, saved $1 million in employee health costs in one year, when complication rates for asthma and diabetes dropped after the company lowered the out-of-pocket cost of medications. In some states, public health plans have adopted V-BID principles.
The new bill would allow the Centers for Medicare and Medicaid Services to establish a regional demonstration program for high-quality Medicare Advantage plans to use value-based design in their insurance coverage. More details: http://1.usa.gov/1pIKvX5
The V-BID Center's faculty are among the 400 U-M researchers who study health care delivery, safety, outcomes and behavior as part of the U-M Institute for Healthcare Policy and Innovation. As its name suggests, one of the institute's key goals is to foster the ability of U-M research to inform all aspects of public health care policy on the state and national level. For more about IHPI, visit http://www.ihpi.umich.edu.
For more about the V-BID Center, its research and examples of public and private health care organizations that have endorsed or implemented the V-BID concept, visit http://www.vbidcenter.org.
New bipartisan House bill draws on U-M health research
ELSE PRESS RELEASES FROM THIS DATE:
Parenting skills improve in ADHD parents with medication
Parenting skills of adults with ADHD improve when their ADHD is treated with medication, according to Penn State College of Medicine researchers. At least 25 percent of clinic-referred children with attention deficit/hyperactivity disorder have a parent with ADHD. "Parents with ADHD are at increased risk to engage in problematic parenting techniques, including inconsistent disciplinary practices, making ineffectual commands and diminished use of praise," said James Waxmonsky, associate professor of psychiatry. "Having a parent with ADHD also decreases the chances that ...
The 'memory' of starvation is in your genes
During the winter of 1944, the Nazis blocked food supplies to the western Netherlands, creating a period of widespread famine and devastation. The impact of starvation on expectant mothers produced one of the first known epigenetic "experiments" — changes resulting from external rather than genetic influences — which suggested that the body's physiological responses to hardship could be inherited. The underlying mechanism, however, remained a mystery. In a paper published recently in the journal Cell, Dr. Oded Rechavi, Dr. Leah Houri-Ze'ev and Dr. Sarit Anava of Tel ...
NASA sees Tropical Storm Halong move northwest of Guam
NASA's Tropical Rainfall Measuring Mission or TRMM Satellite passed over Guam as heavy rain fell over the island while Tropical Storm Halong's center passed just to the north of the island. The TRMM satellite flew above tropical storm Halong on July 31, 2014 at 0904 UTC (August 1, 2014 at 7:04 p.m. local time, Guam). At NASA's Goddard Space Flight Center in Greenbelt, Maryland TRMM data was used to create a rainfall analysis. The analysis derived TRMM's Microwave Imager (TMI) and Precipitation Radar (PR) data was overlaid on a visible/infrared image from Japan's MTSAT-2 ...
Asteroid attacks significantly altered ancient Earth
TEMPE, Ariz. – New research shows that more than four billion years ago, the surface of Earth was heavily reprocessed – or mixed, buried and melted – as a result of giant asteroid impacts. A new terrestrial bombardment model based on existing lunar and terrestrial data sheds light on the role asteroid bombardments played in the geological evolution of the uppermost layers of the Hadean Earth (approximately 4 to 4.5 billion years ago). An international team of researchers published their findings in the July 31, 2014 issue of Nature. "When we look at the present day, ...
Mosaicism: Study clarifies parents as source of new disease mutations
HOUSTON – (July 31, 2014) – Scientists have long speculated that mosaicism – a biological phenomenon, in which cells within the same person have a different genetic makeup – plays a bigger role in the transmission of rare disease mutations than is currently known. A study conducted by an international team of scientists led by Baylor College of Medicine sheds new light on the frequency of mosaicism in genomic disorders and its influence on recurrence risk. The study, which was published today in the American Journal of Human Genetics, also included scientists from the ...
In high-stakes soccer, goalkeepers exhibit 'gambler's fallacy'
When goalkeepers are pitted against multiple kickers in tense penalty shootouts, their attempts to dive for the ball show a predictable pattern that kickers would do well to exploit. After kickers repeatedly kick in one direction, goalkeepers become increasingly likely to dive in the opposite direction, according to an analysis of all 361 kicks from the 37 penalty shootouts that occurred in World Cup and UEFA Euro Cup matches over a 36-year period. The findings reported in the Cell Press journal Current Biology on July 31 highlight the importance of monitoring and predicting ...
Selective logging takes its toll on mammals, amphibians
The selective logging of trees in otherwise intact tropical forests can take a serious toll on the number of animal species living there. Mammals and amphibians are particularly sensitive to the effects of high-intensity logging, according to researchers in the Cell Press journal Current Biology on July 31 who conducted a meta-analysis of almost 50 previously published studies from around the world. "Selective logging in the tropics is not a new phenomenon, and it will continue to be a common use of the forest," says Zuzana Burivalova of ETH Zurich, Switzerland. "We hope ...
See-through organs and bodies will accelerate biomedical discoveries
The ability to see through organs and even the entire body to visualize long-range connections between cells as well as fine-grained cellular structures has been a long-time dream of biologists. A study published by Cell Press July 31st in the journal Cell has now made that dream a reality, revealing simple methods for making opaque organs, bodies, and human tissue biopsies transparent, while keeping the cellular structures and connections intact. The protocols could pave the way for a better understanding of brain-body interactions, more accurate clinical diagnoses and ...
Goalkeepers prone to 'gambler's fallacy' but penalty takers fail to exploit it
After a string of penalties aimed in the same direction, goalkeepers are more likely to dive in the opposite direction on the next penalty but kickers fail to exploit this pattern, finds new UCL research. The study, published in Current Biology, shows that penalty shoot-outs in international tournaments resemble a psychological game. The researchers studied penalty shoot-out videos from all World Cup and Euro finals tournaments between 1976 and 2012. They found that each team of kickers produced more or less random sequences of kicks to the left or the right of the ...
Birthday matters for wiring-up the brain's vision centers
Researchers at the University of California, San Diego School of Medicine have evidence suggesting that neurons in the developing brains of mice are guided by a simple but elegant birth order rule that allows them to find and form their proper connections. The study is published online July 31 in Cell Reports. "Nothing about brain wiring is haphazard," said senior author Andrew Huberman, PhD, assistant professor in the Department of Neurosciences, Division of Biological Sciences and Department of Ophthalmology, UC San Diego. A mature, healthy brain has billions ...