A transition to value-based reimbursement would fundamentally change the traditional hospice business model. It could also wield a powerful influence on an organization’s culture. Hospices are inching ever closer to the value-based arena. To date, much of this has centered around diversified programs like palliative care, PACE and other services. However, the ongoing value-based insurance […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has unveiled a new payment model demonstration geared toward dementia-related illnesses, which are becoming more prevalent among hospice patients. The Guiding an Improved Dementia Experience (GUIDE) Model is designed to improve the quality of life for dementia patients and their caregivers by addressing behavioral health and […]
Having a detailed lens into quality metrics and service costs is a key for hospices that are searching for sustainable value-based payment pathways. Quality and cost data are important pieces to bring to negotiating tables with payers in value-based reimbursement, according to Joe Calcutt, CFO of Liberty Healthcare Management. Hospices that can demonstrate the ability […]
New legislation is leading some hospices to consider what a potential community-based palliative care payment demo would mean for them — as well as what it would look like. Four U.S. senators recently introduced a bipartisan bill that, if enacted, would steer the Center for Medicare & Medicaid Innovation (CMMI) to develop a palliative care-specific […]
As more hospices engage with Medicare Advantage (MA) plans, they may be able to learn from the experiences of some home health providers. Historically, MA has not covered hospice. Now, many operators are contracting with managed care plans for other service lines, such as palliative care, or they may be participating in the hospice component […]
A new primary care-focused payment model demonstration could create new partnership opportunities for hospice and palliative care providers. The U.S. Centers for Medicare & Medicaid Services (CMS) has unveiled the Making Care Primary (MC) model, which will launch in July 2024 in eight states — Colorado, Massachusetts, Minnesota, New Jersey, New Mexico, New York, North […]
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. Through the collaboration, VNS Health and Compassus will help MA health plans to manage […]
Patient data collection is critical in how the U.S. Centers for Medicare & Medicaid Services (CMS) is developing health equity quality measures for hospices in value-based payment. The Center for Medicare & Medicaid Innovation (CMMI) in 2022 announced a “strategy refresh” that included a renewed focus on health care equity in payment model design. Among […]
Recognition of palliative care’s value has been steadily gaining among stakeholders in the form of improved patient outcomes and cost savings through reduced hospitalizations. But despite the upswing in profile, insurance coverage and payment for palliative services remain difficult to come by. Traditional Medicare only covers physician consults and doesn’t support the full range of […]
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. To date, much of this has centered around diversified programs like palliative care, PACE and […]
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