Healthcare solutions with the end in mind
Recently, the CMS Center for Medicare & Medicaid Innovation (CMMI) released its 2021 Request for Applications (RFA) for its hospice Value-Based Insurance Design (VBID) model. This model will allow Medicare Advantage Organizations (MAOs) to test incorporating the Medicare hospice benefit into Medicare Advantage (MA). This model is open to all MAOs and will allow plans …
In the next decade, high-cost case management, population health, and social determinates of health will remain active and important approaches to rein in the increasing costs of healthcare services. However, there is a risk that trend-bending savings from these efforts could remain elusive. Moreover, while some progress has been made to shift providers to value-based …
On November 25th, CMS announced that it is reopening the opportunity submit a Letter of Intent (LOI) to participate in its Direct Contracting: Professional and Global demonstration (through December 9th). This model allows providers that participate in Fee-for-Service (FFS) Medicare to take on a risk/reward-like Medicare Advantage (MA); however, depending on the practice geography and …