Nonprofit consulting firm Altarum has developed a new value-based model, the Medical Episode Spending Allowance (MESA) plan.
Altarum created the model, which it touts as “a new value-based insurance design with more finely calibrated incentives for consumers and providers,’ using a grant from the Robert Wood Johnson Foundation.
Francois de Brantes, Altarum’s Center for Payment Innovation vice president and director, said the issue with high-deductible plans is they ultimately shift the cost burden to individuals.
“For those who need care the most, out-of-pocket expenses are really creating a hardship,” de Brantes tells Fierce Healthcare.
De Brantes says MESA, which encourages consumers to choose quality care at the right price, “should attract those who need healthcare services the most.”