| 8/31/2021 |
News, Trends, Challenges in Specialty Pharmacy: Rx Drug Manufacturers, Benefits Decision Makers Find Solutions in AscellaHealth Developments in Specialty Pharmacy Newsletter | Financial Buzz |
financialbuzz.com |
... therapies that address complex diseases, as well as orphan and rare disorders and in-depth, exclusive interviews with industry partners, such as the Muscular Dystrophy Association (MDA) and Dr. A. Mark Fendrick, M.D., director, Value-Based Insurance Design Center .“We’re pleased to present this timely and robust issue of our industry-focused newsletter, which is filled with valuable information that impacts employers, plan sponsors, payers, manufacturers, providers, advocacy groups ... |
| 8/3/2021 |
Alivia's Ponder-Stansel: Hospice Can’t Afford to Ignore the Carve-In |
hospicenews.com |
The launch of the value-based insurance design demonstration (VBID) on Jan. 1 has opened up a new payment world to hospices. In addition to the opportunities they present, evolving payment models have brought a plethora of billing and operational challenges. In preparation, hospices have diversified their services, ramped up recruitment and retention efforts, and adapted to new billing processes. Often called the Medicare Advantage hospice carve-in, the value ... |
| 7/27/2021 |
'MI Shot To Win' vaccine lottery created interest; may not boost shots |
freep.com |
... nor has it been a sustained game changer in other states with lotteries for quite some time," Dr. A. Mark Fendrick, an internal medicine professor and director of the University of Michigan Center for Value-Based Insurance Design , said of Michigan's vaccine sweepstakes.Still, officials say, they can't give up.Protect Michigan Commission Director Kerry Ebersole Singh said the sweepstakes was one strategy deployed in the lull of the summer ... |
| 7/15/2021 |
Education for Health Plans a Key to Success in MA Hospice Carve-In |
hospicenews.com |
The learning curve for carving hospice into Medicare Advantage through the value-based insurance design model is a two-way street. While providers have had to learn how to work within a managed care environment and negotiate contracts with private payers, many Medicare Advantage health plans have a lot to learn about hospices. For the past couple of years, hospice providers have braced for change in anticipation of the Center ... |
| 3/22/2021 |
News from Monday, March 22, 2021 |
npcnow.org |
News from Monday, March 22, 2021 ArticlesThe Broad Appeal of VBID and Support From Pharma (3/19, Laura Joszt, MA, The American Journal of Managed Care ) reports “The concepts of value-based insurance design have broad appeal in the health care industry, with life sciences companies viewing it as a way to get their medications to the patients who need them, according to a panel of experts during the last ... |
| 2/10/2021 |
News from Wednesday, February 10, 2021 |
npcnow.org |
... beneficiaries in particular, do not care about aggregate health care costs…What they care about is what it costs them,’ said Mark Fendrick, MD, director of the University of Michigan Center for Value-Based Insurance Design, and co-editor-in-chief of The American Journal of Managed Care . Consequently, VBID ‘is a model that, instead of setting cost sharing on the price of the service, sets consumer out ... |
| 2/10/2021 |
Hosparus partners with Humana to provide care to Medicare Advantage patients |
newsandtribune.com |
... into an agreement with Humana Inc. to provide hospice and palliative care services to patients enrolled in two of the insurer’s Medicare Advantage plans in Kentucky and Indiana, as part of the national Value-Based Insurance Design (VBID) demonstration launched Jan. 1.Palliative care will be offered in 13 counties. Hosparus is the only in-network hospice provider in Kentucky, serving Bullitt, Hardin, Henry, Jefferson, Larue, Marion, Meade, Oldham ... |
| 1/12/2021 |
Washington Healthcare Update - January 2021 #1 |
jdsupra.com |
... 2px solid ccc; overflow-x:hidden !important; overflow:hidden;" scrolling="auto" /iframe This week in Washington: The 117th Congress will be in session on Jan. 21. Administration CMS: 2022 Requests for Applications for the Value-Based Insurance Design (VBID) Model and its Hospice Benefit Component CMS: MFAR to Be Formally Withdrawn CMS Adds to ACO, ESCO Resources with Resource Transformation Toolkit, Case Studies and Tip Sheet CMS: Applications for MIPS ... |
| 11/2/2020 |
Spring Hills Names Dr. Pierantonio Russo as Chief Medical Officer and Chief Clinical Transformation Officer | Business & Finance | manchestertimes.com |
Business Wire |
... two decades of practicing cardiac and heart transplant surgery, first at the Mayo Clinic, Russo assumed executive leadership roles providing expertise in medical informatics, machine learning (ML) and predictive modeling applications in health care, value-based insurance and outcome-based contracts, and population medicine. Prior to joining Spring Hills, Russo served as the Chief Medical Officer of HVH/Eversana , a leading provider of artificial intelligence (AI) and ML for health ... |
| 9/16/2020 |
Hospice Scale, Outcomes, Staffing Key to Attracting Buyers, Payers |
hospicenews.com |
... trend to continue into 2021, and the market may pick up even more steam as hospice moves into programs such as the Primary Care First Serious Illness Population model, direct contracting programs or the value-based insurance design demonstration project, commonly known as the Medicare Advantage hospice carve-in. “Private equity consolidation, along with some of the new entry to the sector, has really created a very robust atmosphere for ... |
| 9/11/2020 |
Palliative Care Expanding in the Hospice Space |
hospicenews.com |
... care costs by $103 billion nationwide over the next two decades. Providers investing in palliative care programming stand to benefit from the ability to demonstrate reduced health care costs, a goal under the forthcoming value-based insurance design (VBID) payment model demonstration projects set to take effect in January 2021, commonly called the Medicare Advantage hospice carve-in. Advertisement “One of the reasons that a lot of people are looking ... |
| 9/2/2020 |
Data, Referral Partnerships Keys to Success in Value-Based Hospice Care |
hospicenews.com |
... opens up to include end-of-life care. Starting January 2021, the U.S. Centers for Medicare & Medicaid Services (CMS) will roll out the Primary Care First initiative and add a hospice component to the value-based insurance design (VBID) program, both focused on improving the quality and continuity of patient care as their illnesses progress. The VBID demonstration project is commonly called the Medicare Advantage hospice carve-in. Designed to ... |
| 8/26/2020 |
Getting Upstream: A Hospice Playbook for Value-Based Care |
hospicenews.com |
... to participate in the Medicare Advantage demonstration project and Primary Care First payment models. Beginning January 2021, the U.S. Centers for Medicare & Medicaid Services (CMS) will add a hospice component to the Medicare Advantage Value-Based Insurance Design (VBID) Model, commonly called the Medicare Advantage hospice carve-in. Additionally slated for an early 2021 start is the Primary Care First initiative, rolling out phases in 26 regions nationwide. These value ... |
| 8/24/2020 |
Hospices Need to Understand Risk within Medicare Advantage |
hospicenews.com |
... to understand the relationship between payment and risk within programs like Medicare Advantage. Starting in 2021, providers will have the option to participate in a demonstration project testing the inclusion of hospice in the value-based insurance design model, commonly called the Medicare Advantage hospice carve-in . Health care value-based payment has been gravitating towards risk-based models in recent years. Many Medicare Advantage plans are founded on risk ... |
| 7/27/2020 |
News from Monday, July 27, 2020 |
npcnow.org |
... Michelle M. Stein, Inside Health Policy ) reports “Medicare Advantage and hospice stakeholders say legislation could be introduced soon that would push back until 2023 the option for MA plans to add hospice to the Value-Based Insurance Design demonstration run through the innovation center -- but while hospice providers say a delay is needed, the Better Medicare Alliance says plans have prepped for the demo and a two-year delay is ... |
| 7/18/2020 |
BCA Insurance Group Now an NJM Premier Agent |
southjerseyobserver.com |
... 2020 – BCA Insurance Group announces it has contracted with NJM Insurance Group (NJM) as an NJM Premier Agent, notably expanding its ability to marry the business needs of its clients with NJM’s highly regarded, value-based insurance solutions. This unique relationship positions BCA as a primary gateway to NJM Business Insurance. As an NJM Premier Agent, BCA can provide easy access to all NJM Business Insurance products, including commercial auto ... |
| 6/22/2020 |
A Scalpel Instead Of A Sledgehammer: The Potential Of Value-Based Deductible Exemptions In High-Deductible Health Plans |
henrykotula.com |
... Reducing these costs has been the focus of major policy proposals, including prescription drug bills from both the House and the Senate; forthcoming plans for the Center for Medicare and Medicaid Innovation to test value-based insurance models following the president’s executive order 13890 on Protecting and Improving Medicare for Our Nation’s Seniors; and H.R. 2774 , the Primary Care Patient Protection Act of 2019, which would create a primary care ... |
| 6/15/2020 |
Zero-Dollar Drug Copays Lowered Total Chronic Disease Spending |
HealthPayer Intelligence |
Value-Based Care News Zero-Dollar Drug Copays Lowered Total Chronic Disease Spending Total chronic disease spending may decrease if value-based insurance designs eliminate copays for a comprehensive range of drugs for multiple chronic diseases. Value-based insurance designs that incorporate zero copay programs for certain drugs may help decrease total chronic disease spending—including member and payer costs—when the designs focus on a broad set of drugs ... |
| 4/27/2020 |
News from Monday, April 27, 2020 |
18.211.25.184 |
... Christina Mattina, The American Journal of Managed Care ) “We spoke with Dr Mark Fendrick, co-editor-in-chief of The American Journal of Managed Care®, and director of the University of Michigan Center for Value-Based Insurance Design, or V-BID, on how the principles of V-BID can be used to make a real difference for the millions of American families financially struggling with the impacts of coronavirus disease ... |
| 4/23/2020 |
RAM Technologies, Inc. and Medicare Advantage-in-a-Box Ready for CMS Changes to Value Based Insuranc |
mikeligalig.com |
... benefit capabilities available with HEALTHsuite Advantage and Medicare Advantage-in-a-Box. The advanced functionality provides health plans with the tools they need to participate in the Centers for Medicare and Medicaid Services’ (CMS) Value-Based Insurance Design (VBID) model.The advanced value based benefits processing capabilities available with HEALTHsuite Advantage and Medicare Advantage-in-a-Box enable health plans to identify patients who are eligible for the program and then ... |