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 […]

Humana CMO: Lack of Medicare Advantage Coverage a Barrier to Hospice

Patients covered by Medicare Advantage plans who are faced with the decision of whether to elect hospice may be discouraged by the need to transition off their health plan for most of their care. This practice that has the potential to change through the forthcoming value-based insurance design model demonstration, often called the Medicare Advantage […]

Forthcoming Legislation Seeks to Delay Medicare Advantage Hospice Carve-In

Legislation will likely be forthcoming in Congress this week or next to delay implementation of the value-based insurance design (VBID) model demonstration project, commonly called the Medicare Advantage hospice carve-in. If enacted, the bill would move the program’s start date to 2023.  Currently, the carve-in is slated to begin Jan. 1, 2021. While hospice industry […]

Congress Members Call on CMS to Delay Hospice Carve-In

Members of the Ways and Means Committee in the U.S. House of Representatives have called for a one-year delay for the value-based insurance design model hospice demonstration, commonly called the Medicare Advantage carve-in. Reps. Adrian Smith (R-Neb.), Jackie Walorski (R-Ind.) and Terri Sewell (D-Ala.) sent a letter to Seema Verma, administrator of the U.S. Centers […]

Calls Grow Louder to Delay Hospice Medicare Advantage Carve-In

Stakeholders in the hospice space are calling on the U.S. Centers for Medicare & Medicaid Services (CMS)  to delay the inclusion of hospice in the agency’s value-based insurance design model, commonly called the Medicare Advantage hospice carve-in, on the grounds that providers will not be able to prepare due to the pressures brought on by […]

Hospice CEOs Voice Misgivings on Medicare Advantage

The top executives for companies in the hospice space have expressed serious concerns about the forthcoming inclusion of hospice in Medicare’s value-based insurance design model, often called the Medicare Advantage hospice carve-in. Through Medicare Advantage, CMS contracts with private insurance companies to provide coverage for Medicare beneficiaries. CMS earlier this year announced that it would […]

Medicare Advantage Hospice Carve-In: The Bright Side

Despite the legitimate anxieties of many hospice providers about the Medicare Advantage carve-in demonstration in 2021, some have expressed cautious optimism. “The success of Medicare Advantage in achieving better health outcomes for American seniors and people with disabilities highlights the importance of an integrated system,” Allyson Schwartz, president and CEO of the Better Medicare Alliance […]

Questions Abound on Medicare Advantage Hospice Carve-In

Hospice providers have many questions and few answers related to the U.S. Centers for Medicare & Medicaid Services (CMS) demonstration of a hospice carve-in for Medicare Advantage plans. CMS earlier this year announced that it would test coverage of the hospice benefit through Medicare Advantage plans beginning in 2021. Through Medicare Advantage, CMS contracts with […]