CMS to test value-based insurance model

CMS unveiled plans to launch the Medicare Advantage Value-Based Insurance Design Model, which will tailor coverage for patients with certain chronic conditions. Under the model, participating plans may reduce or eliminate co-pays for some items and services, including covered Part D drugs, or offer supplemental benefits to enrollees with diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD), a history of stroke, hypertension, coronary artery disease or mood disorders.

CMS will examine the model's effects on the cost of care and health outcomes. It will launch on Jan. 1, 2017, and run for five years in seven states. ...