Chronic Disease Management Program With No Pharmacy Copays Reduces Total Spending By 18%

Blue Cross Blue Shield of Louisiana’s (BCBSLA’s) Zero Dollar Co-pay (ZDC) program, a new value-based insurance design (VBID), was associated with a 17.5% decrease in total spending on medical and pharmacy for enrolled members participating in a chronic disease management program. Total spending for enrolled members dropped by $205.90 per member per month (PMPM), from an average of $1,169.90 to $964.00. Medical spending dropped by about $195.00 (24.4%), from an average of $798.70 to $603.70. Pharmacy spending dropped by about $7.59 (2.0%), from an average . . .