Modern Healthcare November 22, 2017
The federal government is expanding a program that allows Medicare Advantage insurers to encourage chronically ill seniors to use high-value services by lowering out-of-pocket costs.
Insurers in 25 states will be able to apply for the Medicare Advantage Value-Based Insurance Design Model in 2019, the CMS announced Wednesday. The program is available to insurers in 10 states in 2018.
Additionally, the federal government is tweaking the model to allow Chronic Conditions Special Needs Plans to participate, and allow participants to propose methods for identifying enrollees with different chronic conditions than those previously allowed by the CMS, such as lower back pain, chronic kidney disease, obesity, asthma or tobacco use.
The Center for Medical and Medicaid Innovation unveiled the five-year experiment...
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