Hospice News

MARCH 23, 2023

Centers for Medicare & Medicaid Services (CMS) is extending the value-based insurance design demonstration for calendar years 2025 to 2030, including the hospice component. The hospice component of VBID, also called the MA carve-in, launched in 2021 and was originally slated to complete after four years. It makes sense.

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Hospice News

JUNE 24, 2024

Collaborating with ACO Flex Model participants could enable palliative care operators to utilize their unique skill sets to reach more patients. The role of a palliative care provider is crucial in this model. This fits nicely into palliative care. This is not a go-it-alone model.

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Hospice News

MARCH 4, 2024

Centers for Medicare & Medicaid Services will end the hospice component of the value-based insurance design model (VBID) as of Dec. Often called the “hospice carve-in,” the program was designed to test coverage of hospice care through Medicare Advantage, in addition to some coverage of palliative care and transitional care.

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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

JUNE 18, 2024

As value-based reimbursement expands, palliative care will become increasingly important when it comes to improving outcomes and reducing costs. Primarily, Medicare reimburses for palliative care through fee-for-service payment programs that cover physician and licensed independent practitioner services.

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Hospice News

JULY 5, 2023

A new cancer-focused payment model demonstration from the Center for Medicare & Medicaid Innovation (CMMI) could create opportunities for palliative care providers. And they also are required to have care partners that can meet holistic needs. That’s another CMMI program that has an obvious palliative care tie-in.”

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Hospice News

MAY 16, 2022

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.

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Hospice News

DECEMBER 8, 2023

Hospice providers will be looking to Congress in 2024 to address issues related to program integrity, quality improvement and industry-wide workforce pressures. As legislative efforts develop, hospices may want to focus their attention on a few key legislators. We don’t have confidence in the algorithm that they proposed.

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Hospice News

SEPTEMBER 6, 2023

Hospices are operating in a changing competitive environment, and some are rolling with the punches better than others. One is value-based payment models, coupled with the entry of new types of organizations in the home-based care space and the rise of more educated, health-literate consumers. Several forces are driving the change.

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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. Centers for Medicare & Medicaid Services (CMS) extended the demo through 2030.

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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

AUGUST 17, 2023

As Jimmy Carter marks his sixth month in hospice care, the provider community is raising awareness by saluting the former president. The National Hospice and Palliative Care Organization (NHPCO) convened a group of hospice leaders at Times Square in New York City to commemorate Carter’s hospice experience.

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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. million beneficiaries.

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Hospice News

FEBRUARY 26, 2024

Hospice operators in 2024 are navigating a rapidly transforming environment. The prior three years have laid the groundwork for change, particularly in the regulatory space as well as gradual migration towards value-based reimbursement and in tandem, the proliferation of business lines beyond hospice.

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Hospice News

FEBRUARY 8, 2023

Hospice leaders would like to see some changes in the space this year, particularly around staffing, payer relationships and regulation. Hospice executives in December 2022 shared their predictions for what would happen in the space during 2023. The labor shortage is unsurprisingly a top concern. “We

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Hospice News

OCTOBER 27, 2023

Forthcoming Medicare payment models will likely focus on disease-specific programs that bear similarities to palliative care. Emerging reimbursement demonstrations have placed a stronger emphasis on addressing a more diverse group of patients with high levels of care needs and complex health trajectories.

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Hospice News

FEBRUARY 23, 2023

As the health care ecosystem changes, hospices will have to evolve. Going forward, this will likely include more engagement with managed care organizations. The first, published last week, addressed the intersection of hospice care, behavioral health and chronic disease management. It’s coming.

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Hospice News

JUNE 6, 2023

Compassus and VNS Health have formed a value-based collaboration aimed at improving access, awareness and quality of hospice and palliative care services. The two home-based care organizations are joining forces in a Medicare Advantage (MA) Value-Based Insurance Design (VBID) model partnership.

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Hospice News

MARCH 5, 2024

In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. 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.

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Hospice News

APRIL 25, 2022

For better or worse, value-based care may be the most influential concept in 21st Century health care. And with the advent of new payment models, hospices are no longer on the outside of those programs looking in. CMMI developed the demo to test offering hospice through MA. This is a response to a real need.

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Hospice News

JANUARY 1, 2024

As hospice providers build out a larger continuum of health care services, some are taking a close look at the primary care space. The term “upstream” has become a watchword in hospice. Centers for Medicare & Medicaid Services (CMS)] believes that primary care is going to be the answer to this fragmented care problem.

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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

APRIL 29, 2022

The Medicare Advantage hospice carve-in has been the focus of much attention among providers, and many are watching closely for the demonstration’s outcomes. Centers for Medicare & Medicaid Services (CMS) launched the MCCM in 2016 to explore the idea of allowing hospice patients to receive concurrent curative care.

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Hospice News

OCTOBER 14, 2022

Virginia-based Blue Ridge Hospice, and its CEO ??Cheryl Cheryl Hamilton Fried, are mobilizing for value-based care with geographic expansion and a new suite of services. Fried took the helm at Blue Ridge Hospice in January 2021 and moved quickly to reinforce the non-profit’s marketing and business development operations.

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Hospice News

AUGUST 8, 2022

As the hospice community takes its first steps into value-based reimbursement, stakeholders have an opportunity to re-examine elements of the Medicare Hospice Benefit that may be outdated, according to some providers. The hospice benefit became a formal part of Medicare in 1983. Initially, the U.S.

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Hospice News

APRIL 28, 2023

When it comes to value-based payment models, home health has a head start on hospice. But those providers’ experiences can lend some insights into how hospices can prepare themselves. Hospices are only now taking their first steps into value-based reimbursement.

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Hospice News

MARCH 12, 2024

Want to read more palliative care-focused content like this? Subscribe to Palliative Care News today ! Regulatory moves toward greater transparency in Medicare Advantage could swing into the realm of palliative care payment. The proposed changes would take effect Jan.

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Hospice News

DECEMBER 7, 2022

While the program currently does not cover hospice outside of the value-based insurance design (VBID) model demonstration , it remains one of the few reimbursement pathways for palliative care and services to address social determinants of health. The organization will begin participation in the VBID demo in 2023.

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