Value-Based Insurance

Selected news for the healthcare topic - Value-Based Insurance, collected since 10/2017. Recent stories appear in npcnow.org and newsandtribune.com. This healthcare topic shares news with Medicare, Medicare Advantage, Medicaid and many others.

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Date Headline (link) Source Relevant Snippet
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for the Value-Based Insurance Design (VBID) Model and its Hospice Benefit Component CMS: MFAR to Be Formally Withdrawn CMS Adds to ACO, ESCO Resources with Resource Transformation Toolkit, Case Studies and Tip Sheet CMS: Applications for MIPS ...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 ...
4/23/2020 Parkview Health and Cigna Reach New Agreement for More Affordable Hospital Care for Employers and Customers PR Newswire ... to redefine the playing field by transforming the way we collaborate with insurance companies," said Greg Johnson , DO, chief clinical integration officer, Parkview Health. "We are partnering with insurance companies like Cigna to create value-based insurance design and partnering with employers to create value-based benefit design, where the two are not only in alignment but also allow for shared risk – and reward – among all. This shift requires that ...
4/17/2020 News from Friday, April 17, 2020 18.211.25.184 ... featuring tools and resources for understanding value in health care and value assessment. These resources are intended to help patients and patient advocates engage in discussions on and the assessment of value.” Full Is Value-Based Insurance Design Experiencing a Renaissance? (4/17, Ryan Olmstead, Employee Benefit Adviser ) comments “...Many employers and other health care purchasers have had V-BID in place for several years, much to the appreciation of their ...
4/17/2020 Is value-based insurance design experiencing a renaissance? employeebenefitadviser.com Is value-based insurance design experiencing a renaissance? By Closeup of pharmacist's hands taking medicines from shelf at the pharmacy alvarez/Getty Images Register now Think of your favorite movie. Maybe it’s a classic from your childhood or early adulthood. In these days of what’s old is new again, it may experience a renaissance for a new generation. (Full disclosure: I’m a child from the “Back to the Future” years ...
4/7/2020 Humana Inc (NYSE: HUM) Q4 2019 Earnings Call Transcript alphastreet.com ... of those we serve through our social determinants capabilities, which positions us strongly to serve the vulnerable populations Medicare and Medicaid and provide us with the experience needed to meaningfully participate in the MA value-based insurance design program and Medicaid procurements. In 2019, we scaled social determinants of health screenings to over 1 million, more than doubled the number of screenings in 2018 and connected those in need to ...