Bipartisan Budget Act of 2018

Incorporates the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017, which includes the expansion of the CMMI Medicare Advantage Value-Based Insurance Design (V-BID) Model to all 50 states

 

S. 870 – Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017

Seeks to strengthen and improve health outcomes for Medicare beneficiaries living with chronic conditions.  Among the recommendations is the expansion of the Medicare Advantage V-BID demonstration to plans in any state.

 

H.R. 1995 – V-BID for Better Care Act of 2017

Seeks to amend title XVII of the Social Security to provide for national testing of the Medicare Advantage V-BID model.

 

S. 3504 – Creating High-Quality Results and Outcomes Necessary to Improve (CHRONIC) Care Act of 2016 (re-introduced in 2017 as S.870)

Allows Medicare Advantage plans the option to propose and design benefit structures that vary benefits, cost-sharing, and supplemental benefits offered to enrollees with specific chronic diseases.

 

S.1396 – Value-Based Insurance Design Seniors Copayment Reduction Act of 2015

Directs the Department of Health and Human Services (HHS) to establish a demonstration program to test Value-Based Insurance Design methodologies in Medicare Advantage plans under part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act for beneficiaries with chronic clinical conditions.

 

H.R.2570 – Strengthening Medicare Advantage through Innovation and Transparency for Seniors Act of 2015

Allows Medicare Advantage plans to lower copayments and coinsurance for their beneficiaries and explicitly prevents plans from increasing beneficiary cost-sharing on any service.

 

H.R. 5183 / S. 2783 – V-BID for Better Care Act of 2014

Directs the Secretary of Health and Human Services to establish a three-year demonstration program allowing participating Medicare Advantage plans to test V-BID principles of reduced copayments and coinsurance for high-performing providers, evidence-based medications, or clinical services related to specific chronic disease care, while explicitly prohibiting plans from increasing copayments or coinsurance to discourage use of services.

 

S. 1932 – Better Care, Lower Cost Act of 2014

Creates the voluntary “Better Care Program” that is open to Medicare enrollees suffering from chronic conditions.  BCPs have the ability to lower cost-sharing on services and provider visits that provide the most value for an enrollee’s chronic conditions.

 

S. 1040 – Seniors’ Medication Copayment Reduction Act (2009)

Reduces or eliminates copays for the treatment of 15 medical conditions under selected Medicare plans.