Only 10 new Medicare Advantage (MA) plans will offer home-based palliative care as a primarily health-related benefit for 2023, but payers may be offering those services through other programs. Among Medicare Advantage supplemental benefits, in-home support services and caregiver support saw the most year-over-year growth for 2023. The number of plans offering home-based palliative care […]
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 […]
The learning curve for carving hospice into Medicare Advantage through the value-based insurance design model is a two-way street. While providers have had to learn how to work within a managed care environment and negotiate contracts with private payers, many Medicare Advantage health plans have a lot to learn about hospices. For the past couple […]
Establishing a dedicated community-based palliative care benefit within Medicare has been a critical goal for many providers nationwide, but the COVID-19 pandemic has led stakeholders to redouble their efforts. The outbreak exposed millions of people and their families to serious illness, and a sizable contingent is realizing that they could have benefited from interdisciplinary person-centered […]
Building and sustaining a financially viable palliative care program will largely depend on a hospice’s ability to demonstrate quality of care and negotiate with payers for reimbursement for these services, according to Anne Tumlinson, CEO of the consulting firm ATI Advisory at the Hospice News Palliative Care Summit. Demand for palliative care has skyrocketed in […]
Palliative care has seen an influx of private equity and venture capital investment in recent years, with growing demand for serious illness care a driving factor. Along with a fragmented marketplace, these factors signify a strong business case to support continued palliative care, according to Fred Bentley, managing director of health care consulting company Avalere […]
The U.S. Centers for Medicare & Medicare Services (CMS) has suspended the application process for the second year of the direct contracting payment models associated with Primary Care First. The status of first-year participants (April 1 to Dec. 31, 2021) has not changed. The agency announced that the direct contracting program is “under review.” This […]
The number of Medicare Advantage health plans that are offering palliative care as a supplemental benefit more than doubled between 2020 and 2021. This represents a larger trend of plans offering an increasing number primarily health-related supplemental benefits. Analysis by the consulting firm ATI Advisory found that the number of health plans offering home-based palliative […]
The year 2020 brought unprecedented disruption to the hospice space, mostly due to the COVID-19 pandemic. The outbreak strained providers ability to provide care, access patients in homes and facilities and to maintain a healthy bottom line in light of lost revenues and rising costs. Despite these challenges and economic headwinds, hospices adapted, improvised and […]
The average length that patients receive palliative care in the United States is lower than in other countries, a recent study reported. Much of the nation remains underserved despite rising demand, with limited payment opportunities restricting growth. A review of palliative services delivered worldwide indicated a wide variation in length of care received by people […]
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