‘Long-Term Business Viability’ a Top Driver of Hospice VBID Participation

Providers see sustainability and expanded service growth as main draws to participating in the Medicare Advantage hospice carve-in. However, these opportunities come alongside administrative and billing challenges, among others. Hospice participation in the value-based insurance design (VBID) model has been slowly increasing over the past two years, a trend anticipated to continue as more providers […]

The First Year of Hospice VBID Is the Hardest for Payers and Providers

Implementation of the Medicare Advantage hospice carve-in has been challenging for both payers and providers, though a recent analysis indicates that it may get easier over time. The U.S Centers for Medicare & Medicaid Services (CMS) commissioned the RAND Corp. to conduct the analysis of the program, formally called the hospice component of the value-based […]

Hospices, Lawmakers Target Medication Cost Reductions

Medication costs are among hospice providers’ biggest expenses, and some are asking policymakers to take action on prices. High prices on drugs, as well as shortages, are problems that permeate the entire health care system. While recent industry-wide data are scarce on drug costs for hospice patients, providers often identify these as their second-highest expense, […]

RAND Corp.: Families Report Better Care from Nonprofit Hospices

The families of patients who received care from nonprofit hospices give their providers higher marks on quality than those who went with for-profits, a RAND Corp. study has found. RAND researchers analyzed Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey data from 653,208 caregivers whose family members received care from 3,107 hospices between April […]

Hospice VBID: Understanding the 2023 Program Modifications

The hospice component of the value-based insurance design (VBID) model will begin its third year on Jan. 1, 2023, meaning that some of the program’s rules will change. Often called the MA hospice carve-in, the voluntary demonstration is designed to assess payer and provider performance related to hospice within Medicare Advantage (MA). The U.S. Centers […]

AAHPM Seeks Implementation of Palliative Care Quality Measures

The American Academy of Hospice and Palliative Medicine (AAHPM) has released an implementation guide for two patient-reported palliative care quality measures. The two new measures fall under the category of “patient-reported outcome performance measures” (PRO-PMs) that assess quality using two main indicators: patient-provider communication and pain management. The National Quality Forum endorsed the measures earlier […]

Hospice Stakeholders Develop Two Palliative Care Quality Measures

The American Academy of Hospice and Palliative Medicine (AAHPM) has unveiled two new patient-reported quality measures for community-based palliative care. These were born as part of the first funding initiatives to develop measures for the U.S. Centers for Medicare & Medicaid Services (CMS) Quality Payment Program, including the Merit-Based Incentive Payment System (MIPS) and alternative […]