tci Part B Insider - 2015 Issue 41

Part B Payment: MA Reimbursement Could Change Dramatically Thanks to VBID Testing

Model focuses on treatment of most expensive and common chronic diseases. As the Medicare program soars headlong into the value-based reimbursement paradigm, CMS is testing several 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 forMedicare and Medicaid Innovation (CMMI) and aims to reduce costs and improve care for MA enrollees with chronic conditions. The VBID model begins on Jan...

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