Download this Paper Open PDF in Browser

Designing Benefits with Evidence in Mind

16 Pages Posted: 28 Feb 2006  

John Santa

Oregon Health & Science University

Mark Gibson

Oregon Health & Science University

Abstract

This paper summarizes the history of benefit design in the U.S. approach to health care; the state of research evidence currently available for use in benefit design; and past and current efforts to integrate evidence into benefit design, including the barriers encountered in these efforts and suggestions for overcoming them. It focuses especially on the need for a different benefit design language that would enable an explicit linkage between evidence and benefits. This analysis is based on a review of the literature; on one of the author's experience, which includes executive service in a BlueCross/BlueShield plan; on policymaking in state government; and on interviews with health care leaders in both the public and private sectors.

Keywords: Evidence-based medicine, Health care cost containment, Health care delivery, Health care quality, Health insurance coverage

JEL Classification: I11

Suggested Citation

Santa, John and Gibson, Mark, Designing Benefits with Evidence in Mind. EBRI Issue Brief, No. 290, February 2006. Available at SSRN: https://ssrn.com/abstract=887311

John Santa (Contact Author)

Oregon Health & Science University ( email )

3181 S.W. Sam Jackson Park Rd.
Portland, OR 97201
United States
503-494-2182 (Phone)

Mark Gibson

Oregon Health & Science University ( email )

3181 S.W. Sam Jackson Park Rd.
Portland, OR 97201
United States
503-494-2182 (Phone)

Paper statistics

Downloads
136
Rank
178,270
Abstract Views
1,312