Infographic: Implementing Value-Based Benefit Design in Medicare Advantage

Wednesday, December 14th, 2016
This post was written by Melanie Matthews

Implementing Value-Based Benefit Design in Medicare AdvantageOut-of-pocket Medicare Advantage costs are continuing to grow and higher cost-sharing can adversely affect health and worsen healthcare disparities, according to new infographic by the University of Michigan Center for Value-Based Insurance Design.

The infographic examines the increase in cost-sharing in Medicare Advantage plans, how this is impacting healthcare utilization and why lower cost-sharing on high-value services could impact Medicare beneficiaries.

Healthcare’s inevitable shift from volume to value-based reimbursement is reflected not only in Medicare’s alternative payment timeline but also in the waves of commercial payors now evaluating and rewarding providers on the basis of quality of care delivered rather than number of services provided. Adding to its roster of quality-centered payment models, CMS announced in 2015 plans to explore value-based reimbursement for Medicare Advantage and home health.

2015 Healthcare Benchmarks: Value-Based Reimbursement captures the healthcare industry’s reaction to payment formulas for value-added care, and how this shift away from fee-for-service is transforming care delivery and quality.

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