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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.
Providers have reported shortages among socialworkers and nonclinical staff as well. 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. This entire Medicare Advantage carve-in, it makes sense.
Providers have reported shortages among socialworkers and nonclinical staff as well. 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. 1, 2024 and is expected to proceed through 2030.
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.”
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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