CMS Innovation Agency to Launch Risk-Based Model for Dual Eligibles

CMS’ innovation center is about to roll out a new model allowing insurance plans to take on financial risk for patients enrolled in both Medicare and Medicaid, Brad Smith, director of the Center for Medicare and Medicaid Innovation, said Tuesday at payer lobby AHIP’s virtual conference. The trial will allow managed care organizations that assume risk for a patient enrolled in Medicaid to also assume risk for that same patient in fee-for-service Medicare. Along with the dual-eligible demonstration, Smith said industry could expect some additional models to come out of the pipeline in the next few months, including one letting plans and providers take on risk for Medicare lives in certain geographies.

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Source: https://www.healthcaredive.com/news/cms-innovation-agency-to-launch-risk-based-model-for-dual-eligibles/585297

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