What type of model will Wellcare offer in 2025 for select Dual Eligible Special Needs Plans (D-SNPs)?

In 2025, Wellcare is set to offer a Value-Based Insurance Design (VBID) model for select Dual Eligible Special Needs Plans (D-SNPs), focusing on improving care quality and outcomes for beneficiaries. The VBID approach is designed to provide tailored benefit packages that align with the specific health needs of individuals, especially those who are dual eligibles, which means they qualify for both Medicare and Medicaid.

This model allows for flexibility in how health plans deliver services and manage care, incentivizing members to engage in preventive care and chronic disease management. By aligning incentives with health outcomes, the VBID allows Wellcare to focus on the overall health and well-being of members rather than merely the volume of services provided. This alignment is especially crucial for D-SNP enrollees, who often have complex health needs, as it encourages a more personalized and effective care delivery system.

Other options do propose valuable strategies in healthcare management but do not directly reflect the specific model Wellcare is adopting for D-SNPs in 2025. Comprehensive Care Management indicates a broader strategy without the specific focus on value-based benefits. Integrated Service Delivery suggests a collaborative approach in providing services but does not highlight the financial incentives tied to health outcomes as VBID does.