tci Medicare Compliance & Reimbursement - 2015 Issue 21

Medicare Advantage: How VBID Testing Could Revolutionize MA Reimbursement

Model focuses on treatment of most expensive and common chronic diseases. As the Medicare program soars headlong into the value-based reimbursement paradigm, the Centers for Medicare & Medicaid Services (CMS) is testing a myriad of models for transforming its payment system. And the latest experiment will target 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...

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