Hospices are developing new services to meet patients’ complex needs and capitalize on value-based payments, but the workforce shortage is causing complications. Ensuring appropriate staffing is a key consideration in service diversification. This goes beyond numbers alone — employee interest and engagement also count, according to Christina Andrews, director of professional services at Axxess. “When […]
As more health care reimbursement migrates towards value-based payment models, providers will need to master the art of care coordination. Seriously ill patients can easily fall through the cracks in a fragmented health care system, leading to poorer outcomes and costly hospital stays and emergency department visits. Closing these gaps is a rising priority in […]
Exploring partnerships with Accountable Care Organizations (ACOs) may help palliative care providers grow and sustain their programs, but they would need to prioritize cost effectiveness and their capacity to receive new patients. ACOs are among the many health care stakeholders that are grappling with the question of how to best serve the burgeoning population of […]
Palliative care packs a small but meaningful punch in the value-based payment arena. But to successfully negotiate value-based contracts, hospices will need to educate payers about the value of palliative care, according to J. Cameron Muir, M.D., chief innovation officer of the National Partnership for Healthcare and Hospice Innovation (NPHI). Specifically, providers can help orient […]
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. Admission to the network means that Aetna will also cover a range of benefits for Ohio’s Hospice and Pure […]
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. While value-based care has sound underlying principles — improving quality and lowering costs — stakeholders often discuss these […]
Health care policymakers continue to focus on “co-creating the future of Medicare” as the nation emerges from the COVID-19 pandemic. Dr. Meena Seshamani is leading that charge within the U.S. Centers for Medicare & Medicaid Services (CMS) – and she’s doing so by leveraging her recent palliative care experience. Seshamani serves as the director of […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has dipped its toes into value-based reimbursement for palliative care. Interest in these programs is growing among providers, but many find barriers that block their access or limit their ability to scale. The most visible attempt began in 2020 when CMS began allowing Medicare Advantage (MA) […]
Demand for palliative care is rising, but providers still have few avenues for reimbursement. To support their programs, more are securing reimbursement through value-based contracts with payers. Some are finding a learning curve in terms of how to structure and negotiate these agreements within new or unfamiliar payment models. These contracts are typically associated with […]
The U.S. Centers for Medicare & Medicaid Services (CMS) direct contracting model demonstration is transforming, the agency announced last week. In the intervening days, the hospice providers who had prepared to participate in those programs have sought answers as to where they fit in this new direction. CMS is replacing the Global and Professional Direct […]
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