Reimbursement: CMS Offers More Options With 3 Payment Models

Why This Topic Matters

These CMS model changes can affect how Medicare plans, providers, and suppliers participate in payment demonstrations and future reimbursement opportunities. Understanding the direction of these models helps organizations monitor policy developments and prepare for application windows and operational changes.

Article Sections

1. See the VBID Model Adjustments

   This section covers updates to a Medicare Advantage-related value-based insurance design initiative and the eligibility changes tied to upcoming model testing. It also notes the timing for applications and future expansion plans.

2. Add This Part D Option to Your Checklist

   This section summarizes a voluntary Part D payment model focused on modernization, spending, and quality-related goals. It discusses the application process, participation scope, and general risk-sharing framework.

3. Emergency Care Gets a Boost

   This section describes a new model for emergency medical services and ambulance-related care after 911 calls. It outlines the model’s broad payment approach, intended operational focus, and anticipated implementation timeline.