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

JUNE 16, 2023

The mission and function of the Medicare program have evolved over time, and the agency that runs it also may need to adapt to the new ways that health care organizations are doing business, according to SCAN Group CEO Dr. Sachin Jain. billion nonprofit Medicare Advantage (MA) organization that covers more than 270,000 members.

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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

AUGUST 15, 2024

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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Hospice News

AUGUST 14, 2023

Among those demos is the Medicare Care Choices Model (MCCM), which ran between 2016 and 2021. Community-based palliative care has the potential to improve end-of-life care and Medicare program costs.” It’s a genesis for expansion in terms of improving or maintaining quality of care and driving savings in Medicare,” Baird said.

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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reimbursement, stakeholders have an opportunity to re-examine elements of the Medicare Hospice Benefit that may be outdated, according to some providers.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

OCTOBER 4, 2022

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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Hospice News

MAY 16, 2022

. “This would allow for greater flexibility than the current Medicare model provides.” . Often called the Medicare Advantage hospice carve-in , the VBID demonstration project took effect January 1, 2021. The carve-in is designed to assess payer and provider performance related to hospice within Medicare Advantage.

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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

MARCH 24, 2023

Centers for Medicare & Medicaid Services’ (CMS) decision to extend the value-based insurance design (VBID) model through 2030: patients’ social needs, health equity and improved care coordination. This includes the hospice benefit component, often called the Medicare Advantage carve-in, CMS confirmed.

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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. Centers for Medicare & Medicaid Services (CMS). That’s another CMMI program that has an obvious palliative care tie-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. 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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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). When you become an ACO with Medicare, that is a public record.

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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

JUNE 18, 2024

Primarily, Medicare reimburses for palliative care through fee-for-service payment programs that cover physician and licensed independent practitioner services. Centers for Medicare & Medicaid Services (CMS) also allows Medicare Advantage plans to cover palliative care as a supplemental benefit.

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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. 1, 2021, with 53 participating health plans. This number grew to 115 in 2022.

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Hospice News

DECEMBER 9, 2022

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). Centers for Medicare & Medicaid Services (CMS) has indicated that hospices should ensure that their billing staff is familiar with the 2023 modifications.

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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 26, 2024

Partnerships and affiliations can help hospices mitigate the payment reductions that will likely occur within Medicare Advantage, as health plans generally seek to negotiate for lower rates. Centers for Medicare & Medicaid Services (CMS) finalized its hospice Special Focus Program (SFP) in its 2024 home health rule.

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Hospice News

SEPTEMBER 6, 2023

-Kara Justis, vice president of strategic consulting,Trella Health Preferred provider networks These days, hospices are also competing not only for market share and referrals but also for contracts with Medicare Advantage plans, ACOs and some health systems. Participation in the demonstration is voluntary for both payers and providers.

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Hospice News

APRIL 28, 2023

Home health value-based purchasing Home health providers have two primary inroads to value-based care — HHVBP and Medicare Advantage. Centers for Medicare & Medicaid Services (CMS) kicked off the HHVBP demonstration on Jan. But this would likely change in the long run should the demo become a permanent model.

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Hospice News

AUGUST 17, 2023

The federal payment model demonstration that led to the founding of the Medicare Hospice Benefit began during his tenure in the White House. Centers for Medicare & Medicaid Services (CMS). Centers for Medicare & Medicaid Services (CMS). million Medicare decedents received hospice care, CMS reported.

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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. 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 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 the U.S. CMS has yet to release details on how payment may or may not change during the extension years.

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Hospice News

FEBRUARY 8, 2023

Another focus for providers this year should be adapting towards risk-based payment models or the potential for hospice coverage through Medicare Advantage (MA), some executives say. Often called the MA hospice carve-in , the four-year voluntary demonstration is designed to assess payer and provider performance within Medicare Advantage.

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Hospice News

DECEMBER 8, 2023

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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Hospice News

OCTOBER 27, 2023

Forthcoming Medicare payment models will likely focus on disease-specific programs that bear similarities to palliative care. As far as CMMI’s pipeline of payment demos, similar to GUIDE, palliative care providers can anticipate more value-based models that are “focused on specific health conditions,” Rawal said.

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Hospice News

MARCH 5, 2024

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. Notwithstanding, the benefit is highly successful under original Medicare in delivering compassionate end-of-life care for patients and families.

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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. I noted that when you were with a previous organization, one of the things you worked on was the Medicare Care Choices Model demonstration.

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Hospice News

JANUARY 1, 2024

Centers for Medicare & Medicaid Services (CMS)] believes that primary care is going to be the answer to this fragmented care problem. The agency intends for the 10-year demo to expand and enhance care management and care coordination. Primary care is where it’s at.”

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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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AlayaCare

JULY 24, 2022

Government legislation is also fueling growth, with Medicare for example expected to approve a rising number of home-based health care services in the next few years in a bid to limit the burden on hospitals. Request a demo any time to see how we do it. In fact, globally, the market is expected to reach $31.9 billion USD by 2022.

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AlayaCare

MARCH 4, 2021

Government legislation is also fueling growth, with Medicare for example expected to approve a rising number of home-based health care services in the next few years in a bid to limit burden on hospitals. Request a demo any time to see how we do it. In fact, globally, the market is expected to reach $31.9 billion USD by 2022.

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AlayaCare

OCTOBER 21, 2021

who receive Medicare or Medicaid reimbursement, or agencies funded through the Ministry of Health across Canada, will soon be required to be fully vaccinated against COVID-19. Or to learn more about the AlayaCare solution, drop us a line and ask for a free demo. Challenge #2 Workers in most health care facilities in the U.S.

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AlayaCare

OCTOBER 22, 2021

who receive Medicare or Medicaid reimbursement, or agencies funded through the Ministry of Health across Canada, will soon be required to be fully vaccinated against COVID-19. Or to learn more about the AlayaCare solution, drop us a line and ask for a free demo. Challenge #2. Workers in most health care facilities in the U.S.

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Hospice News

DECEMBER 7, 2022

When stakeholders consider ways to improve Medicare Advantage, they should take care not to romanticize fee-for-service Medicare in the process, SCAN Health Plan CEO Dr. Sachin Jain cautions. Medicare Advantage (MA) is a growing force in health care. The organization will begin participation in the VBID demo in 2023.

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Hospice News

MARCH 12, 2024

Regulatory moves toward greater transparency in Medicare Advantage could swing into the realm of palliative care payment. Centers for Medicare & Medicaid Services (CMS) recently released a Request for Information (RFI) on ways to improve data sharing and increasing transparency in Medicare Advantage.

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