Hospice News April 5, 2023
By Jim Parker

The U.S. Centers for Medicare & Medicaid Services (CMS) will allow hospice patients to receive concurrent care through the Medicare Advantage hospice carve-in, and will permit health plans to further restrict utilization of out-of-network providers.

Originally slated to complete in 2024, CMS recently extended the carve-in, formally known as the hospice component of the value-based insurance design model (VBID). During those additional years, patients will be able to receive curative treatments in tandem with hospice care.

“Typically, Medicare enrollees who choose hospice services give up their right to receive health care services that are ‘curative.’ Under the model extension, beginning in 2025, CMS will more closely align flexibilities for concurrent care with those offered in other CMS Innovation Center...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Payment Models, Post-Acute Care, Provider, Value Based
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