Here’s an overview of our work for you in July 2019.

Whatever model the consortium aligns around will be presented to the Center for Medicare and Medicaid Innovation (CMMI) for its approval and implementation. The consortium effort kicked off in mid-April with consortium staff meeting with CMMI staff to share our project goals and timeline. We also sought feedback from ...

As it relates to Medicare Advantage (MA) plans offering supplemental benefits, CMS made two key changes in the final Call Letter. The first was to include a larger rate increase to MA plans than originally proposed – now 2.53%, an increase of nearly 1%. This “modest” increase, as it ...

Two policy goals were identified to test through the Value-Based Insurance Design (VBID) Model: Improve quality and access by increasing appropriate and timely access to care along with promoting better care coordination for people who choose MA and elect hospice benefits Enable innovation by fostering ...

LeadingAge also asked CMS to provide more detail on the types of benefits a MA plan may offer under the new Special Supplemental Benefits for Chronically Ill policy and clarification on how these customized, person-centered benefits will be authorized.  Additional comments were offered recommending ways for CMS to reduce ...