Fact SheetJanuary 27, 2021
Value-Based Insurance Design in Medicare Advantage
Medicare Advantage focuses on primary care, early intervention, care coordination, and wellness programs to slow disease progression and improve health status, particularly for beneficiaries with chronic conditions.
Medicare Advantage provides all Traditional Fee-For-Service (FFS) Medicare benefits.
• Value-Based Insurance Design promotes the use of high-value services to improve health outcomes and reduce costs.
• Value-Based Insurance Design reduces cost-sharing for high-value services to encourage, and better enable beneficiaries to use clinically recognized, effective care.
• Better Medicare Alliance urges Congress or CMS to expand the testing of the MA V-BID
Model to enable plans in all states to participate.