tci Medicare Compliance & Reimbursement - 2015 Issue 23

MA Reimbursement: Learn How CMS' Transformed Payment System Could Impact You

VBID aims to reduce costs and improve care. With the Centers for Medicare & Medicaid Services (CMS) testing several models to transform its payment system, the next targets are Medicare Advantage (MA) Plans. On Sept. 1, CMS announced a new Value-Based Insurance Design (VBID) model for MA Plans and MA Organizations (MAOs). The model is part of the Health Plan Innovation Initiatives under the Center for Medicare and Medicaid Innovation (CMMI) and aims to reduce costs and improve care for MA enrollees with chronic conditions. The VBID model begins on Jan. 1, 2017 and lasts for five years. CMS...

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