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Sunday
Jan202019

Value-Based Insurance Design (VBID) 

The Centers for Medicare & Medicaid Services (CMS) is announced changes to Medicare Advantage (MA) health plan through its Innovation Center in hopes to drive down "program expenditures, enhance the quality of care for beneficiaries, and improve the coordination and efficiency of health care service delivery." 

The VBID Model began January 1, 2017 and will run for five years.

The 2017
 categories were:

  • diabetes
  • congestive heart failure
  • chronic obstructive pulmonary disease (COPD)
  • past stroke 
  • hypertension
  • coronary artery disease
  • mood disorders
  • combinations of these categories. 

 

Beginning in 2018, CMS added

 

  • dementia
  • rheumatoid arthritis. 

 

Starting in 2019, CMS will allow participants to propose a methodology that either 1) identifies enrollees with different chronic conditions than those previously established by CMS or 2) modifies the existing approved CMS chronic condition category to target a broader or smaller subset of the existing chronic condition.

The Application Cycle for 2019 closed on Wednesday, January 31, 2018 5:00 p.m. EST.
Information on the CY 2020 Application Cycle will be available later this year.

 Link

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