Palliative Care Providers Have ‘Very Positive Incentive’ to Contract with ACOs

Recognition of palliative care’s value has been steadily gaining among stakeholders in the form of improved patient outcomes and cost savings through reduced hospitalizations. But despite the upswing in profile, insurance coverage and payment for palliative services remain difficult to come by. Traditional Medicare only covers physician consults and doesn’t support the full range of […]

Walgreen-Boots Alliance to Pursue Smaller Acquisitions in 2023

The Walgreens-Boots Alliance (NASDAQ: WBA) will focus on smaller tuck-in transactions in 2023 as opposed to the multi-billion dollar deals the company pursued in 2022. Last year, WBA poured money into health care provider investments and acquisitions, including the home-based care platform CareCentrix, Inc. and VillageMD. Those companies both provide palliative care in addition to […]

4 Benefits of Hospice Contracts in ACO REACH

The Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) payment model will launch on Jan. 1, 2023, and hospices that collaborate with participating ACOs could realize some unique benefits. The Center for Medicare & Medicaid Innovation announced the program in February to replace the Global and Professional Direct Contracting (GPDC) models. The […]

Customizing Hospice, Palliative Care Payment Contracts in ACO REACH

Hospices and Accountable Care Organizations have the ability to customize payment contracts within the Realizing Equity, Access and Community Health (ACO REACH) program. Effective Jan. 1, 2023, the U.S. Centers for Medicare & Medicaid Services (CMS) is replacing the Global and Professional Direct Contracting (GPDC) model with ACO REACH. The agency says the new program […]

Walgreens Boots Alliance Full Speed Ahead to Acquire 100% Stake in CareCentrix

Walgreens Boots Alliance (NASDAQ: WBA) is putting the pedal to the metal in its $392 million deal to secure full ownership of home-based care company CareCentrix. The Walgreens Boots Alliance (WBA) is a Fortune 500 health care and retail powerhouse and parent company of the Walgreens retail pharmacy chain. Like its rival CVS Health (NYSE: […]

Hospices See Potential in Value-Based Contracts, but Referrals Not Guaranteed

Shared savings contracts in value-based care programs can generate revenue for hospices that offer upstream services like palliative care, but that does not guarantee that providers will see an increase in referrals. Hospices nationwide have been developing additional business lines to capitalize on emerging value-based models, including services like PACE, home-based primary care, and palliative […]

Walgreens Closes $330 Million CareCentrix Deal

The Walgreens Boots Alliance, Inc. (NASDAQ: WBA) has completed its acquisition of a majority share in the home-based care platform CareCentrix, Inc. This transaction deepens Walgreens’ reach into the home-based care space. It comes on the heels of prior investments in home-based primary care company VillageMD and the home health and hospice provider BrightSpring Health […]

Hospices Can Expect More Value-Based Payment, Despite SIP, Direct Contracting Delays

As the Biden administration reviews value-based programs put forth during the Trump years, hospice and palliative care providers have had to recalibrate as the new payment models they were expecting hang in limbo, including the direct contracting program and the Primary Care First Serious Illness Population (SIP) model.  Regarding the SIP model, providers have little […]

Geographic Direct Contracting: Where Hospice Fits

Through the U.S. Centers for Medicare & Medicaid Services (CMS) forthcoming geographic direct contracting model, participating entities will step into the role of payer as well as provider, including responsibility for program integrity and utilization management. The best opportunity for hospices that wish to be involved would be to establish preferred provider relationships with direct […]

Direct Contracting Payment Models to Allow Concurrent Hospice Care

The direct contracting component of the Primary Cares Initiative will allow eligible hospice patients to receive curative treatment while also receiving hospice care.  The direct contracting options include three voluntary payment models that are designed to help the U.S. Centers for Medicare & Medicaid Services (CMS) and health care providers reduce the cost of care […]