CMS expands Medicare Advantage V-BID Model

August 23, 2016  //  FOUND IN: Updates & Resources


On Aug. 10, the Center for Medicare and Medicaid Innovation announced changes to the Medicare Advantage Value-Based Insurance Design model.

The MA-VBID model test is set to begin on Jan. 1, 2017, at which time selected Medicare Advantage plans in designated states will be permitted to offer varied benefit designs for enrollees diagnosed with specified clinical conditions. In 2018, the model will expand to Michigan, Alabama and Texas, and will add two clinical categories: rheumatoid arthritis and dementia.

For additional information about the CMMI MA V-BID model program, please visit the model website.

The latest White Paper from U-M’s Center for Value Based Insurance Design and supported by the Gary and Mary West Health Policy Center draws attention to the growing problem of cost-related non-adherence in Medicare. It explores how clinically nuanced cost-sharing can mitigate adverse patient-centered outcomes. Modeling reveals that Medicare Advantage plans that reduce cost-sharing for high-value medical services for certain chronic conditions is an option that is fiscally feasible.

Read more about V-BID in MA and view our timeline on the role V-BID plays in MA.