Nathan Ray shares his perspective on CMS's upcoming Medicare Advantage Value-Based Insurance Design Model
The cost-sharing part of CMS's upcoming Medicare Advantage Value-Based Insurance Design Model will allow insurers to provide some healthcare services at no cost or reduced costs to patients, and hospitals to provide needed care to targeted populations.

Though the CMS announcement seems to be universally welcomed, its immediate impact will be limited, notes Nathan Ray, a senior manager with consulting firm of West Monroe Partners. With its focus on a short list of conditions and being tested in only seven states, the initiative will impact only a subset of providers initially, he says, but the outcomes will have significant influence on things to come for more than the initial model population and not limited to Medicare Advantage.

Of particular note is the benefit designation of "high value" services, providers, and disease management programs, which drives the extension of resources to participants under reduced cost sharing benefit designs, he notes.

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