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CMS updates Medicare Advantage Value-Based Insurance Design (VBID) Model for 2019

November 22, 2017

CMS updates Medicare Advantage Value-Based Insurance Design (VBID) Model for 2019
Expansion of model to 25 total states to provide Medicare beneficiaries with more choices and lower costs

The Centers for Medicare & Medicaid Services (CMS) today announced several updates to the Medicare Advantage Value-Based Insurance Design (VBID) Model for 2019 that encourages customized benefit designs and flexibilities that meet the health needs of beneficiaries in a total of 25 states.   

“This Administration is committed to making sure that our seniors have more choices and lower premiums in their Medicare Advantage plans,” said CMS Administrator Seema Verma. “CMS expects that this demonstration will provide insights into future innovations for the Medicare Advantage program.”

CMS recently announced in the Medicare Advantage and Part D proposed rule that it is providing new flexibility for customized benefit designs that address the specific health needs of certain beneficiaries under Medicare Advantage. This allows additional plan variety and options, reduced cost sharing for customized benefits and different cost-sharing for beneficiaries that meet specific medical criteria

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Submission from NCRHLA on Proposed Design for Medicaid Managed Care

September 13, 2017

The North Carolina Rural Health Leadership Alliance (NCRHLA), a program of the Foundation for Health Leadership & Innovation, appreciates this opportunity to submit feedback ont he North Carolina Proposed Program Design for Medicaid Managed Care. 

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NC Medicaid Comments Submission by NCMS

September 12, 2017

On behalf of the more than 12,000 physician and physician assistant members of the North Carolina Medical Society (NCMS), we respectfully submit these comments on the Proposed Plan Design for NC Medicaid.

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Medicaid Opioid Safety Policies

August 28, 2017

Medicaid will implement new Prior Authorization policies for safe prescribing of opioid analgesics beginning August 27, 2017.

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Medicaid Reform White Paper

August 10, 2017

On August 8 2017, the North Carolina Department of Health and Human Services released its detailed proposed program design for Medicaid Managed Care. The proposed program design (pdf) and supporting materials can be found here. 

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From the AMA: MACRA/QPP Pick your pace and new resources

August 4, 2017

The AMA continues to hear from physicians who feel unprepared to participate successfully in Medicare’s new Merit-based Incentive Payment System, despite the transitional flexibility provided for 2017.  In particular, it seems that physicians who never participated in Medicare reporting programs before need basic information on how to avoid a payment penalty in 2019 through minimal reporting in 2017.

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2018 Medicare Physician Fee Schedule Proposed Rule Summary

July 17, 2017

An initial summary of the Medicare physician fee schedule proposed rule is below for your information. 

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The AMA Strongly Opposes the Senate’s Health-reform Proposal

June 27, 2017

A lot of big numbers have been tossed around in the days since Senate leaders unveiled a “discussion draft” of legislation—dubbed the Better Care Reconciliation Act of 2017 (BCRA)—that would dramatically reshape how our country’s health system is financed.

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From National Rural Health Association: Senate Releases Health Care Reform Bill

June 22, 2017

The Senate released their version of the House passed American Health Care Act entitled the Better Care Reconciliation Act of 2017.

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DEADLINE FOR INFORMAL REVIEW OF POTENTIAL PENALTIES EXTENDED

December 2, 2016

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What's Next in a Post - ACA World

November 16, 2016

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Message from the WCMS Foundation Board Chair

October 26, 2016

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CMS announces additional opportunities for clinicians to join innovative care approaches under the Quality Payment Program

October 25, 2016

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HHS finalizes streamlined Medicare payment system that rewards clinicians for quality patient care

October 14, 2016

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Message from the President - Get Out the Vote

September 13, 2016

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