We would like to welcome Novo Nordisk to the Coalition! Novo Nordisk is a global healthcare company with more than 90 years of innovation and leadership in diabetes care, and also focuses on care for other chronic conditions including rare bleeding disorders, growth hormone related disorders, and obesity. We look forward to incorporating their perspectives and insights into our work and efforts.
Hill Activity Update
CHRONIC Care Act of 2017 Clears Senate Finance Committee
On Thursday, May 18, the Senate Finance Committee unanimously approved the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 (S. 870). The CHRONIC Care Act of 2017 would expand the Value-based Insurance Design (V-BID) Model to all states by 2020. Next, the bill will be considered by the full Senate, but the exact date has not yet been determined. The full text of the bill is available here
Senator Stabenow Highlights Innovation of Medicare Advantage V-BID Demonstration
During the Senate Finance Committee’s May 16 hearing, “Examining Bipartisan Medicare Policies that Improve Care for Patients with Chronic Conditions,” Senator Stabenow highlighted the innovations of the Medicare Advantage V-BID demonstration, specifically mentioning Dr. Mark Fendrick and the University of Michigan Center for V-BID:
“I want to specifically talk about the value-based insurance design today. It’s not something everyone in the public would be thinking of in terms of an improvement in the system. But I am proud to say that this is a Michigan export. In 2005, Dr. Mark Fendrick started the University of Michigan Center for Value-Based Insurance Design. They have done innovative work in evaluating health plan benefit designs to improve care and reduce costs. This bill would take this [VBID] from a pilot in 7 states to an opportunity for every state.”
Coalition Submits Letter of Support for The Value-Based Insurance Design (V-BID) for Better Care Act of 2017
On Wednesday, May 17, the Coalition sent a letter of support on the The V-BID for Better Care Act of 2017 (H.R. 1995). This bill, along with the recently re-introduced CHRONIC Care Act of 2017, would expand the CMS Medicare Advantage V-BID demonstration to all states by January 1, 2019, and represent a major step forward in unleashing the potential for Medicare Advantage to more effectively address the needs of beneficiaries.
The letter, sent to Representatives Black, Blumenauer, McMorris Rodgers, and Dingell, can be viewed here.
In The News
Whichever Way ‘Repeal And Replace’ Blows, Pharma Is Due For Windfall (7/12/17)
Health Plans That Nudge Patients to Do the Right Thing (7/10/17)
What would happen if health plans offered more generous coverage of high-value care, but less generous coverage of those services that provide little or no health benefit? Read the article here.
Senate Panel Approves Bill Revamping Medicare for Chronically Ill Patients (5/18/2017)
The article provides a summary of the provisions included in the CHRONIC Act, including the Medicare Advantage V-BID expansion. Read the full article here.
Medicare Urged to Look Harder at Value of Services Provided (4/1/2017)
In 2014, Medicare spent between $2.4 billion and $6.5 billion on health care services known as “low-value care.” MedPAC used 31 measures of low-value care developed by Aaron Schwartz of Harvard University and colleagues.The article discussed options the MedPAC could consider, including increasing patients’ responsibility “by using cost-sharing and conferring with their providers about which services are necessary.” Read the full article here.