Understanding the ACO Opportunity For Hospices

Though the Medicare Advantage hospice carve-in is going away at the end of this year, those operators still have a role to play in value-based care. The carve-in, formally known as the hospice component of the value-based insurance design model (VBID), will expire on Dec. 31. The program was designed to test hospice coverage through […]

How ACO Flex Could Make Hospice ‘Top of Mind’ with Primary Care Providers

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. They can become members of those organizations themselves, or they […]

Hospice’s Outlook in Value-Based Care

Data are key to understanding how value-based care has helped highlight quality benefits of hospice. The U.S. Centers for Medicare & Medicaid Services (CMS) is sunsetting the hospice component of the value-based insurance design (VBID) as of Dec. 31. Commonly called the hospice carve-in, the program in 2021 began testing the coverage of hospice through […]

New ACO Primary Flex Model Could Increase Hospice, Palliative Care Access

The Centers for Medicare & Medicaid Innovation (CMMI) has unveiled a new primary care-oriented Accountable Care Organization (ACO) payment model that holds opportunities for hospices.  This demonstration reflects a push by the U.S. Centers for Medicare & Medicaid Services (CMS) to reduce fragmentation in the health care system by strengthening primary care as a hub […]

Hospices Welcome VBID’s Demise, But Questions Remain

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. Many operators were glad to see it go, but the questions the […]

CMS to Sunset Hospice VBID in 2024

The U.S. Centers for Medicare & Medicaid Services will end the hospice component of the value-based insurance design model (VBID) as of Dec. 31. 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. The hospice […]

Hospices Exploring MSOs Amid Evolving Consolidation Rules

Entering agreements with management service organizations (MSOs) may be an alternate route to joint ventures, mergers and acquisitions for hospices seeking to build scale and sustainability than in today’s regulatory and financial climates. A slew of regulatory moves have taken place in 2023 that can have an impact on future deal-making in the hospice space, […]

Key to the Continuum: Hospice Providers Eye Primary Care Businesses

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. Operators are increasingly realizing the benefits of creating longitudinal relationships with patients that begin well before a six-month terminal prognosis. Consequently, many have […]

Value-Based Payment Models Driving Nonprofit Hospice Affiliations

As hospices prepare for Medicare Advantage, more nonprofits are finding that creating partnerships or entering affiliations will better position themselves for payer negotiations. Nonprofit hospice affiliations have surged in 2022 and 2023. This is in addition to the creation of several regional collaborative networks and the formation of new Accountable Care Organizations (ACOs). The gradual […]

Aetna’s President of Medicare: MA Plans Go All-In on Aging in Place with New 2024 Benefits, Palliative Care, Hospice VBID

Aetna, a subsidiary of CVS Health (NYSE: CVS), is leveraging a series of new benefits that, coupled with existing palliative care programs and ongoing hospice payment demonstrations, promise to keep patients in their homes and out of facilities. The new benefits are heavily focused on making medications affordable and addressing social determinants of health. Beneficiaries […]