Hospice News

APRIL 21, 2023

The Center for Medicare & Medicaid Innovation (CMMI) is considering a broad spectrum of payment models that could integrate palliative care. This could include demos that fuse palliative care into Accountable Care Organization (ACO) or primary care programs, among others. “In

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Hospice News

SEPTEMBER 8, 2023

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. Originally slated to end in 2024, CMS recently extended the hospice component of the value-based insurance design model (VBID) to 2023. SCAN is a $4.3

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2026 Hospice Demo Long-term hospice 278

Hospice News

DECEMBER 9, 2022

The hospice component of the value-based insurance design (VBID) model will begin its third year on Jan. Often called the MA hospice carve-in , the voluntary demonstration is designed to assess payer and provider performance related to hospice within Medicare Advantage (MA).

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Hospice News

JUNE 24, 2024

1, 2025, the Center for Medicare and Medicaid Services (CMS) Innovation Center will begin implementing a payment model for primary care known as the Accountable Care Organizations (ACOs) Primary Care Flex Model under the Medicare Shared Savings Program (MSSP).

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Hospice News

MARCH 28, 2023

Hospices will need to leverage creativity to thrive in a Medicare Advantage reimbursement environment. Often called the Medicare Advantage carve-in, the hospice component of the value-based insurance design (VBID) model is now in its third year. Hospices have new evidence at their disposal to make this case.

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Hospice Demo Long-term hospice 2030 239

Hospice News

APRIL 11, 2023

Centers for Medicare & Medicaid Services (CMS) extends the Medicare Advantage hospice carve-in through 2023, providers are concerned about preserving patient choice and the nature of concurrent care. As it currently stands a patient can choose whichever hospice they want when they elect hospice care.

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Hospice News

OCTOBER 20, 2022

SCAN Health Plan is among the Medicare Advantage (MA) payers entering the hospice component of the value-based insurance design (VBID) payment demonstration in 2023. The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan. Hospice VBID enters its third year in 2023.

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Hospice News

APRIL 25, 2022

billion Medicare Advantage (MA) organization that covers more than 270,000 members. Centers for Medicare & Medicaid Services (CMS) Administrator Don Berwick. There, Jain helped establish the Center for Medicare & Medicaid Innovation (CMMI), which is charged with development and testing of value-based payment models.

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Hospice News

FEBRUARY 23, 2023

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. The first, published last week, addressed the intersection of hospice care, behavioral health and chronic disease management.

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Hospice News

DECEMBER 8, 2023

This includes the revamping of the hospice survey process and the establishment of a Special Focus Program slated to begin in 2024, to name a few. What we would love for our lawmakers to do is really champion the program as it exists and make sure it’s protected from threats to its payment system,” Baird told Hospice News.

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Hospice News

MARCH 5, 2024

You can subscribe to Palliative Care News here: Subscribe today! The Medicare Advantage hospice carve-in will be carved back out by the end of this year. Many operators were glad to see it go, but the questions the demo sought to answer still linger. Citing “operational challenges,” the U.S.

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Hospice News

OCTOBER 14, 2022

We’re future makers, and we want to be able to see the [Medicare] hospice benefit preserved and to be the program that is covering and meeting the community’s needs. So far half of the palliative care consults that we’ve been asked to provide have converted to hospice care.

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Hospice News

APRIL 4, 2024

Collaborations with participants in the Centers for Medicare & Medicaid Innovation’s (CMMI) Accountable Care Organization (ACO) Primary Care Flex demo could allow hospices to leverage their skill sets to access more patients. Hospices and palliative care providers can come to ACOs by two main avenues.

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Hospice News

JANUARY 1, 2024

“We have an existing group of primary care providers, but we’re very aggressively pursuing acquiring as many primary care providers who are already in the geriatric care space, because when you look at most of the risk-based models — the GUIDE model that’s coming out and ACO REACH,” Ponder Stansel said. “[The

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