Healthcare Innovation February 15, 2025
Calling the costs ‘unprecedented’ in CMS Innovation Center models, the VBID model cost CMS $2.3 billion in CY 2021 and $2.2 billion in CY 2022
In December, the Centers for Medicare & Medicaid Services (CMS) announced it was terminating the Medicare Advantage Value-Based Insurance Design (VBID) model at the end of 2025 due to the model’s “substantial and unmitigable costs to the Medicare Trust Funds.” Calling the costs “unprecedented” in CMS Innovation Center models, the VBID model cost CMS $2.3 billion in Calendar Year (CY) 2021 and $2.2 billion in CY 2022. Although the model is being terminated a year early, lessons learned from this program can inform future MA plan design, CMS said.
As CMS explains on...
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