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CMS to expand MA value-based model to 15 more states

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The Centers for Medicare & Medicaid Services has announced that starting in 2019, the federal government will expand the Medicare Advantage value-based insurance design model to an additional 15 states and broaden the options available for participants. The expansion will mean that the  model will be used  in a total of 25 states in 2019.

The program began back in 2015, with the idea of letting MA plans  offer custom-designed supplementary benefits for beneficiaries with such conditions as hypertension, diabetes and congestive heart failure.

The CMS  will let  insurers propose their own systems or methods for identifying eligible enrollees, including Medicare beneficiaries who have different chronic conditions than those previously set  by the CMS.

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