Hospice News October 23, 2020
When negotiating with managed care payers, hospices must take pains to show how they bring value to that relationship. This requires a detailed look at the provider’s business and clinical operations with a focus on quality, perceptions of care, and cost reduction.
Many hospices will need to brush up on their negotiating skills as hospice moves towards value-based care payment models and as more providers diversify their services to include offerings that are not covered by the Medicare Hospice Benefit, such as palliative care, home-based primary care and other business lines.
“As we transition in our health care community away from fee for service into more managed care, we’re seeing increasingly thin margins. As Medicare reimbursement continues to go down,...