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Payer Partnerships ‘Critical’ in VBID: Ohio’s Hospice, Pure Healthcare Contract with Aetna

Hospice News

CVS Health Corporation (NYSE: CVS) subsidiary Aetna has selected Ohio’s Hospice and Pure Healthcare as part of the insurance company’s hospice and palliative care preferred provider network for Value-Based Insurance Design (VBID) in the Buckeye State. “This would allow for greater flexibility than the current Medicare model provides.”

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Hospice’s Post-VBID Value-Based Outlook

Hospice News

The post-Medicare Advantage hospice carve-in landscape could include wider value-based reimbursement avenues in the hospice space, leading providers to pivot into MA payer relationships. You need to be at the table with Medicare Advantage plan negotiations and make yourself known. a hospice and home care consulting company.

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CMMI Working on Payment Models That Include Palliative Care

Hospice News

The Center for Medicare & Medicaid Innovation (CMMI) is developing new reimbursement pathways for palliative care. As part of that process, CMMI is applying elements of its Medicare Care Choices Model (MCCM) demonstration, which ended Dec. They also were more likely to eventually accept the Medicare Hospice Benefit.

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Payers to Hospices: Don’t Wait to Start Working with MA Plans

Hospice News

Over time, Medicare Advantage plans will likely have a greater presence as hospice payers, and now is the time for providers to build relationships those organizations. billion nonprofit Medicare Advantage (MA) organization that covers more than 285,000 members across California, Arizona, Nevada and Texas. SCAN is a $4.3

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Key Trend for Hospices to Watch: Managed Care Becomes a Juggernaut

Hospice News

Though hospices operate within the dedicated Medicare benefit, market forces in the system at large wield considerable influence on how they operate — including the meteoric rise of managed care. million beneficiaries are currently enrolled in Medicare Advantage, according to the U.S. We don’t shy away from managed Medicare.

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Hospice CEOs: Action Needed on Staffing, Value-Based Care, Oversight

Hospice News

Turnover rates for registered hospice nurses reached 25.15% in 2022, according to the 2022-2023 Hospice Salary & Benefits Report , published by Hospital & Healthcare Compensation Service (HCS) in cooperation with the National Association for Home Care & Hospice (NAHC). This entire Medicare Advantage carve-in, it makes sense.

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Top Lawmakers for Hospices to Watch in 2024

Hospice News

Lawmakers have an essential role in ensuring the viability of the Medicare Hospice Benefit, according to Davis Baird, director for government affairs for hospice at the National Association for Home Care and Hospice (NAHC). So, having those conversations about what those improvements would be is going to be an important exercise in 2024.”

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