CMMI Takes New 3-Pronged Strategic Direction Amid ‘Critical Juncture’ in Health Care

The Center for Medicare and Medicaid Innovation (CMMI) will implement a new, three-pronged strategic direction aimed at improving access and outcomes while reducing health care costs. More seriously ill individuals are living longer with multiple comorbidities, a trend that has increasingly overburdened and financially strained the health care system and families across the country, according […]

Lack of Awareness Challenging Palliative Care’s Plight in the Hospice VBID Landscape

A main barrier to palliative care growth in the Medicare Advantage hospice carve-in is a lack of understanding of these services among beneficiaries, as well as inconsistent service delivery. The value-based insurance design (VBID) model is among the payment avenues that allows Medicare Advantage plans to cover palliative care as a supplemental benefit. When the […]

Caregiver Support a ‘Significant’ Priority in CMMI Models, VBID

Unmet caregiver needs are a top issue to address in developing end-of-life care models encircling the Medicare landscape. Among top priorities in current and future payment models is to improve care for those with serious and terminal illnesses, which includes caregiver support, according to Purva Rawal, chief strategy officer for the Center for Medicare and […]

Building a ‘More Person-Centered Health System’: Palliative Care in Value-Based Models

Forthcoming Medicare payment models will likely focus on disease-specific programs that bear similarities to palliative care. Emerging reimbursement demonstrations have placed a stronger emphasis on addressing a more diverse group of patients with high levels of care needs and complex health trajectories. Examples include the Value-Based Insurance Design (VBID) demonstration, the Accountable Care Organization Realizing […]