The COVID-19 public health emergency (PHE) challenged hospital bed capacity severely limiting access to critical medical services in patients’ time of need. In response, the Centers for Medicare & Medicaid Services (CMS) collaborated with outside experts to develop what
Lessons from CMS’ Acute Hospital Care at Home Initiative
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Medicare Advantage Value-Based Insurance Design (VBID) Model to End after Calendar Year 2025: Excess Costs Associated with the Model Unable to be Addressed by Policy Changes
The Centers for Medicare & Medicaid Services (CMS) is terminating the Medicare Advantage (MA) Value-Based Insurance Design (VBID) model at the end of 2025 due to the model’s substantial and unmitigable costs to the Medicare Trust Funds. Excess costs to the Medicare Trust Funds of this magnitude — $2.3 billion in Calendar Year (CY) 2021 and $2.2 billion in CY 2022 associated with the VBID model Read more about Medicare Advantage Value-Based Insurance Design (VBID) Model to End after Calendar Year 2025: Excess Costs Associated with the Model Unable to be Addressed by Policy Changes
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Guiding an Improved Dementia Experience by Clearing the Path for Comprehensive, High-Quality Dementia Care
Alzheimer’s disease and related dementias are devastating conditions for a person and their family and caregivers. The progressive course of dementia can threaten an individual’s autonomy, and families can be emotionally, physically, mentally, and financially strained. Often, a family member finds themself in a new, unexpected role as a caregiver supporting the person living with dementia. To Read more about Guiding an Improved Dementia Experience by Clearing the Path for Comprehensive, High-Quality Dementia Care
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Charting a Path for the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needs
The Affordable Care Act (ACA) authorizes the Centers for Medicare & Medicaid Services (CMS) to test innovative health care payment and service delivery models that have the potential to lower Medicare, Medicaid, and Children’s Health Insurance Program spending while maintaining or improving the quality of care. The law requires an evaluation of each model to assess quality of care outcomes and Read more about Charting a Path for the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needs
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Important New Changes to Improve Access to Behavioral Health in Medicare
As we emerge from the COVID-19 public health emergency, it is increasingly clear that we must swiftly improve access to effective mental health and substance use disorder (collectively called behavioral health) treatment in order to meet the growing demand for such services. For older Americans and people with disabilities enrolled in Medicare, many individuals have felt the effects of worsening Read more about Important New Changes to Improve Access to Behavioral Health in Medicare
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CMS Innovation Center’s One-Year Update on the Executive Order to Lower Prescription Drug Costs for Americans
This October marks one year since President Biden issued Executive Order 14087 “Lowering Prescription Drug Costs for Americans,” which complements the historic provisions in the Inflation Reduction Act that lower prescription drug costs. The Secretary of Health and Human Services, in response to the order, delivered a report to the White House outlining three selected models aimed at improving Read more about CMS Innovation Center’s One-Year Update on the Executive Order to Lower Prescription Drug Costs for Americans
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