CMS ends value-based Medicare Advantage model: 5 things to know

Becker's Healthcare December 18, 2024
Rylee Wilson

CMS will sunset the Medicare Advantage Value-Based Insurance Design Model at the end of 2026, citing “unprecedented” costs to the Medicare trust fund.

The VBID model was introduced as a pilot program in 2017. The program allowed MA plans to develop targeted supplemental benefits aimed at addressing chronic conditions and offer $0 cost-sharing for prescription drugs.

Here are five things to know:

1. In a Dec. 16 blog post, CMS said the program cost $2.3 billion in 2021 and $2.2 billion in 2022, an unprecedented cost trend for CMS innovation models. The increases were driven by increased enrollee risk scores and Part D expenditures.
2. Medicare Advantage plans will be able to offer many of the same supplemental...

Today's Sponsors

Today's Sponsor