Hospices to Receive a Per Diem Payment Under Medicare Advantage in 2021

Providers have faced a slough of unanswered questions regarding the demonstration project to test hospice coverage through the value-based insurance design model (VBID), commonly known as the Medicare Advantage carve-in. Among the most pressing of these questions is how they will be paid. For the program’s first year, which commences Jan. 1, 2021, most hospices […]

CMMI May Allow Second Cohort of Health Plans for MA Hospice Carve-In

The Center for Medicare & Medicaid Innovation (CMMI) will offer a second opportunity for Medicare Advantage plans to participate in the demonstration of hospice coverage through Medicare Advantage. The implementation date for this second cohort would occur in 2022. CMMI Director Brad Smith discussed this move at the Better Medicare Alliance Medicare Advantage Summit. “In […]

HHS Secretary Azar: Medicare Advantage Will Grow Telehealth Beyond COVID-19

Telehealth will be a cornerstone of future health care policy following the COVID-19 pandemic, with Medicare Advantage plans as one engine for growth. Expansion of telehealth services across the health care continuum accelerated rapidly due to efforts to stem the spread of the novel coronavirus. These developments will likely shape health care for years to […]

As CMS, OIG Audits Continue, Hospices Prepare Themselves

Providers are focused on compliance as regulators increasingly zero in on the hospice space. With auditory action on the rise in the industry and anticipated to continue, hospices will need to be proactive in compliance planning and education to position themselves for success. The U.S. Centers for Medicare & Medicaid Services (CMS and the U.S. […]

Medicare Advantage Hospice Carve-In Starting Small in 2021 

The demonstration project to test inclusion of hospice in the value-based insurance design model — often called the Medicare Advantage hospice carve-in — will be a small program in its first year. The 53 participating Medicare Advantage plans cover 8% the market and a limited geographic footprint, according to data from the U.S. Centers for […]

53 Medicare Advantage Plans to Offer Hospice in 2021, Palliative Care to Grow

Among Medicare Advantage plans, 53 will be covering hospice and palliative care in 2021 through the value-based insurance design (VBID) model, according to the U.S. Centers for Medicare & Medicaid Services (CMS). Medicare Advantage is seeing record-high levels of participation for 2021 among beneficiaries, reaching about 42% for 2021, CMS reported. Starting in 2021, payers […]

HHS Shipping 2.6 Million COVID Tests, Includes Share for Hospice

The U.S. Department of Health and Human Services (HHS) is in the process of distributing 2.6 million COVID-19 testing kits to organizations that serve vulnerable populations, including hospice providers. In addition to hospices, the department is also sending a portion of those tests to assisted living facilities, nursing homes and home health organizations. Many providers […]

More than 60 Organizations Call for Medicare Palliative Care Demo

The U.S. Department of Health and Human Services (HHS) and congressional leaders have received letters with signatures from more than 60 health care and senior citizen advocacy groups calling for a demonstration to test a community-based palliative care benefit program within Medicare. Organizations such as the National Hospice & Palliative Care Organization (NHPCO), the National […]

CMS Boosts Funds for Medicaid Home- and Community-Based Services

The U.S. Centers for Medicare & Medicaid Services (CMS) has allocated an additional $165 million to states that participate in the agency’s Money Follows the Person (MFP) program, which is designed to help Medicaid recipients transition from receiving care in nursing homes to home- and community-based services.  Currently 33 states and the District of Columbia participate […]