This session will reflect on the 2026 bid season as plans navigate the ending the of Value Based Insurance Design program. Since the onset of the VBID program, plans relied on its flexibility to provide additional benefits to members to enhance their Medicare Advantage offerings.
In this session, we will explore strategies employed by health plans to offer alternative benefits to members with chronic conditions or Low Income Status and the potential resulting impact to plan costs, member selection, and implementation challenges. We will additionally dive into a case study of how the low-income cost-sharing waiver benefit previously implemented through VBID impacts member medication adherence, and the care cost implications of the benefit removal.