Healthcare Finance News December 19, 2024
CMS says the excess costs of the program were “unprecedented” in CMS Innovation Center models.
The Centers for Medicare and Medicaid Services is terminating the Medicare Advantage Value-Based Insurance Design (VBID) model at the end of 2025 due to what it called the model’s “substantial and unmitigable costs to the Medicare Trust Funds.”
These excess costs totaled $2.3 billion in Calendar Year 2021 and $2.2 billion in CY 2022. These costs were associated with the VBID model, based on the prior and forthcoming evaluation reports, and CMS described them as “unprecedented” in CMS Innovation Center models.
Performance analyses of the model, according to CMS, showed the costs were driven in part by increased risk score growth and Part D expenditures,...
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