The Centers for Medicare & Medicaid Services yesterday announced refinements to the design of the second year of the Medicare Advantage Valued-Based Insurance Design Model. The model, announced last year, will test whether giving MA plans flexibility to offer supplemental benefits or reduced cost sharing to targeted groups of enrollees with certain chronic conditions improves health outcomes and reduces costs. The model will begin in January in Arizona, Indiana, Iowa, Massachusetts, Oregon, Pennsylvania and Tennessee and in 2018 in Alabama, Michigan and Texas. In the second year of the model, CMS will adjust the clinical categories for which participants may offer benefits and change the minimum enrollment size for some MA and prescription drug plan participants. CMS expects to announce the first-year participants in September and request applications for the second year of the model this fall. For more information, visit

Related News Articles

A new AHA report highlights some of the significant changes and future challenges that impact hospitals and health systems.
Special Bulletin
Special Bulletin on CMS’s Nov. 26 proposed rule aimed at lowering drug prices for beneficiaries enrolled in Medicare Advantage and Part D programs.
AHA Center for Health Innovation Market Scan
Seemingly everyone agrees that consumers should have a stronger voice in value-driven health care and how benefit plans are designed. What hasn't been clear,…
Special Bulletin
The Centers for Medicare…
Americans rely heavily on hospitals to provide 24/7 access to care for all types of patients, to serve as a safety net provider for vulnerable populations and…
Seventy-one percent of respondents predict that, over the next five years, their organization will increase collaboration with other providers and payers on…