| 4/2/2022 |
History of Reimbursement Issues |
versedwriters.com |
... on nursing practice, clinical outcomes, and cost issues.InstructionsReflect upon your readings and professional experience regarding reimbursement issues and address the following.- Analyze how healthcare reimbursement influences your nursing practice.- Examine how the value-based insurance design (VBID) influences clinical outcomes and cost issues.FROM WEEKEND LECTURE: With the Affordable Care Act, the reimbursement model is shifting to provide incentives for innovating value-based programs, such as the Medicare ... |
| 3/1/2022 |
Office Hours: Medicare Advantage Value-Based Insurance Design Model - 2022 Hospice Benefit Component |
slideshare.net |
Create your free account to read unlimited documents.Create your free account to continue reading.The Medicare Advantage Value-Based Insurance Design (VBID) Model Team hosted an office hours session on Thursday February 3rd, 2022 on the Hospice Benefit Component to provide technical and operational support to interested stakeholders. During this office hours session, presenters answered questions submitted in advance to the VBID Mailbox and offered attendees an opportunity to ... |
| 12/7/2021 |
Association between medication adherence and non-drug healthcare utilisation and costs: a retrospective longitudinal cohort study among US women age 65 and older |
BMJ |
... therapy adherence and non-drug healthcare utilisation and costs among Medicare patients with breast cancer in the USA over the full course of 5-year treatment. Provided insights into the potential benefits of implementing value-based insurance design plans among patients with breast cancer to improve their long-term oral medication adherence. Unable to precisely calculate the filled prescriptions or the drug costs due to data limitations. Introduction Breast cancer ... |
| 10/22/2021 |
CMS, CMMI officials seek more data from Medicare Advantage plans on impact of health equity |
FierceHealthcare |
... this week sponsored by the Better Medicare Alliance. Officials said they want to better understand the impact of incentives in the MA program to address health equity and to spur more participation in the value-based insurance design (VBID) model.“Having a better understanding of the experience of those beneficiaries enrolled in MA is crucially in determining how value-based care is delivered,” said Purva Rawal, Ph.D., chief strategy ... |
| 10/4/2021 |
CMS lowers MA premiums amid insurer plans to grow offerings - MedCity News |
MedCity News |
... are MA enrollment and plan benefits expected to expand, but a sizeable number of plans will focus on innovation. More than 1,000 MA plans will participate in the CMS Innovation Center’s Medicare Advantage Value-Based Insurance Design Model in 2022, which is testing the effects of offering approximately 3.7 million people customized benefits.This news comes amid rising insurer interest in the MA market.Over the past few days ... |
| 9/30/2021 |
Average 2022 Medicare Advantage premium to decrease, enrollment to increase: CMS |
Becker's Hospital Review |
... will expand testing of the Part D Senior Savings Model with over 2,100 plans, including over 500 Medicare Advantage and Part D plans, as well as two insulin manufacturers. CMS Innovation Center's Medicare Advantage Value-Based Insurance Design model is tapping more than 1,000 Medicare Advantage plans in 2022, accounting for over 3.7 million enrollees ... |
| 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 ... |