Inflation Reduction Act of 2022 Includes Several V-BID Elements The Inflation Reduction Act of 2022, which passed the Senate on August 7th, includes several V-BID related items, notably: Caps Medicare patients’ out-of-pocket costs at $2,000 per year, with the option to break that amount into affordable monthly payments Covers adult vaccines recommended by the Advisory Committee on Immunization Practices under Medicare Part D without cost-sharing Amends the Internal Revenue Code to create a safe-harbor allowing Health Savings Account-eligible plans to cover insulin prior to meeting the plan deductible Caps Medicare patients’ out-of-pocket costs for insulin at $35 per month Since its launch in 2005, the V-BID Center has undertaken research and advocacy efforts supporting policies — such as those included in the Inflation Reduction Act — that reduce out-of-pocket costs for essential medical services for millions of Americans, leading to improved patient-centered outcomes, enhanced equity, and increased efficiency of medical [...]
Press Release: CMS Proposes to Waive Cost-Sharing for Colonoscopy After Positive At-Home Colorectal Cancer Screening Test
In a July 7 press release, CMS Proposes Physician Payment Rule to Expand Access to High-Quality Care”, CMS proposed that a follow-up colonoscopy to an at-home test be considered a preventive service, which means that cost sharing would be waived for people with Medicare.
Press Release: Media Attention, New Publication Highlights Coverage Gap for Cancer Screening Follow-Up Care
This week, national media stories and a new JAMA Network Open publication bring attention to the problem of cost-related barriers for follow-up evaluations for post-initial cancer screening, as well as the clinical and economic benefits of policies that remove these impediments.
Press Release: Biden Administration Guidance Reaffirms No Out-of-Pocket Costs for COVID Testing and Eliminates Cost-Sharing for Colonoscopy
The Biden Administration has released Frequently Asked Questions Part 51 regarding implementation of the ACA, FFCRA, Coronavirus Aid Relief, and CARES Act. The guidance reaffirmed no out-of-pocket costs for COVID testing as well as the elimination of cost-sharing for colonoscopies following a positive non-invasive colorectal cancer screening test.
October 20, 2021– the Centers for Medicare and Medicaid Services Innovation Center (CMMI) has released a white paper detailing its strategic direction for the next decade.
New NPC-funded research by the Employee Benefit Research Institute (EBRI) has found that many employers would like to further broaden pre-deductible coverage for medications and health services used to treat common chronic conditions.
In July 2021, the DC Health Benefit Exchange Authority (DCHBX) voted to adopt key recommendations from its Social Justice and Health Disparities Working Group which aim to expand access to providers and health systems, eliminate health outcome disparities, and ensure equitable treatment in health care settings and delivery of health care services for communities of color.
On April 28, 2021, Senators John Thune (R-SD) and Tom Carper (D-DE), re-introduced the Chronic Disease Management Act in the United States Senate. This bill builds upon its previous versions and includes criteria from the 2019 IRS guidance to further increase the flexibility of HSA-HDHPs to cover chronic disease services on pre-deductible basis.
On Tuesday, April 20, 2021, V-BID Center director, A. Mark Fendrick, presented at the Federal Employees Health Benefits Program Carrier Conference, co-hosted by the U.S. Office of Personnel Management (OPM) and America’s Health Insurance Plans (AHIP).
Press Release: Significant Uptake of IRS Rule Expanding Pre-Deductible Coverage of Chronic Disease Services
The 2020 Kaiser Family Foundation Survey of Employer Health Benefits reported significant uptake of a 2019 federal rule that expanded the number of clinical services that may be covered before enrollees meet their plan deductibles.
Washington, DC — On Wednesday, the Biden-Sanders Unity Task Force released a 110-page document detailing recommendations for key issues, including health care.
In the proposed 2021 Notice of Benefit and Payment Parameters rule, released on January 31, 2020, the Department of Health and Human Services (HHS) declared broad support for the inclusion of V-BID principles in marketplace health plans.
The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) was signed into into law on March 25, 2020.
Wasington, DC -- On Wednesday, the President signed the Families First Coronavirus Response Act (HR 6201) into law. Among other stipulations, this legislation eliminates cost-sharing for COVID-19 testing.
Today, the Centers for Medicare & Medicaid Services announced a new model, Part D Senior Savings, dramatically reducing insulin-related out-of-pocket costs for 3 million Medicare beneficiaries.