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CMS Announces Value-Based Insurance Design Model To Improve Care & Reduce Costs In Medicare Advantage Plans

Posted on Wednesday, September 2, 2015 9:34 AM

CMS announced that the Medicare Advantage Value-Based Insurance Design Model, which will test the hypothesis that giving Medicare Advantage plans flexibility to offer targeted extra supplemental benefits or reduced cost sharing to enrollees who have specified chronic conditions can lead to higher-quality and more cost-efficient care. The model will also help health plans and consumers have the necessary tools to improve costs and spend dollars more wisely. The overall goal of the model is to improve beneficiary health, reduce the utilization of avoidable high-cost care, and reduce costs for plans, beneficiaries and the Medicare program. This model focuses on Medicare Advantage enrollees with chronic conditions, such as diabetes, congestive heart failure, chronic obstructive pulmonary diseases (COPD), and hypertension. Click here to read more from CMS.

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