Medicare Advantage V-BID model expands nationally
Earlier this month, President Donald Trump signed the Bipartisan Budget Act of 2018.
The funding bill incorporates the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017, which includes the expansion of the CMMI Medicare Advantage Value-Based Insurance Design (V-BID) Model to all 50 states. The model allows Medicare Advantage plans the flexibility to reduce cost-sharing or offer supplemental benefits to enrollees with specified chronic conditions, focusing on the services that are of highest clinical value to them.
The nationwide expansion of the CMS MA V-BID demonstration by Jan. 1, 2020 demonstrates growing bipartisan support for the expanded role of V-BID principles in public and private payers including the TRICARE program, and most recently, the introduction of the Chronic Disease Management Act of 2018. This bipartisan bill provides high-deductible health plans the flexibility to provide coverage for services that manage chronic disease prior to meeting the plan deductible.