Fly-in: Medicare Advantage VBID 2.0

Event Date: 8/6/2019 - 8/7/2019

Event Overview

VBID 2.0: New perks available for payers that enroll in the latest CMS model

Since CMS reinterpreted the statutes underlying its uniformity regulations, Medicare Advantage plans can enjoy many of the opportunities provided by the original VBID test, without having to take on the additional administrative burden that's part and parcel of participation in a pilot program. But now CMS has introduced VBID 2.0, and is encouraging participation nationwide by offering even greater flexibilities to model participants:

Benefit offerings based on an enrollee's low-income status and benefits that directly address SDOH, without the requirement to link the benefit to a medical need, or award it based on medical necessity.
Rewards programs associated with VBID 2.0 participation may have higher values than ever before
VBID participants may use telehealth providers as a limited substitute for physical providers to meet network adequacy requirements in a given county.
More plan types can participate, including Regional Preferred Provider Organizations and all Special Needs Plans
Beginning in 2021, a test of a hospice benefit in 2021 will likely give beneficiaries an option to remain in MA and receive all benefits through their plan, rather than traditional Medicare

This fly-in and workshop, organized in cooperation with the Center for Value-Based Insurance Design, brings both the "vision" and the "real world experience" into a single conversation and will arm Medicare Advantage and Special Needs Plans with the insight they need to better evaluate the opportunities VBID 2.0 present for their health plan. For more information on V-BID in MA, visit the V-BID Center event page

Brought to you by the Health Plan Alliance and the Center for Value-Based Insurance Design

The Health Plan Alliance is a national organization that brings provider-sponsored and independently-owned health plans together with their health system and provider group leaders for unparalleled peer-to-peer collaboration. For more than 20 years, Health Plan Alliance members have leveraged the collective knowledge of our community to enhance their business acumen and advance the quality of health care delivery in their communities.

University of Michigan faculty first conceptualized and coined the V-BID concept and have guided this approach from early principles to adoption in the private and public sectors. Since its inception in 2005, the University of Michigan Center for Value-Based Insurance Design has led efforts to promote the development, implementation, and evaluation of innovative health benefit designs that improve quality and lower costs - the primary goals of health care reform.

Event highlights

Visit the agenda tab to see the entire agenda

CMMI's Mark Atalla joins our faculty for a townhall style Q&A with Alliance member health plans
The VBID center convenes an expert panel to provide context and background of the VBID model, and what we anticipate from policy makers and regulators in the future when it comes to support for clinically nuanced benefit design
We'll look under the hood of real-world VBID programs managed by a provider-sponsored health plan today: The case study from UPMC will cover the decision-making process, implementation experience, and the road ahead. Following the case study presentation, we will host peer-group break outs for more technical details related to product design, medical management, and financial management

Who should attend

This meeting is limited to Health Plan Alliance members and invited guests.

We encourage organizations offering a Medicare Advantage plan to send a team of delegates, to take full advantage of the break out sessions designed to offer technical guidance and deeper dives into role-specific issues in these key areas: Medical, Financial, and Product design and strategy.

This meeting is designed for inter-disciplinary teams with responsibilities for:

Medical management
Product design and market intelligence
Financial performance of your Medicare Advantage product
MA bid development
Network development and contracting
Provider partnership strategies, risk sharing arrangements and advanced payment model development

Alliance member health system and/or provider groups are also invited attend.