Hospice News August 24, 2020
As hospices wade into the complexities of value-based reimbursement models in 2021, they must learn to understand the relationship between payment and risk within programs like Medicare Advantage.
Starting in 2021, providers will have the option to participate in a demonstration project testing the inclusion of hospice in the value-based insurance design model, commonly called the Medicare Advantage hospice carve-in.
Health care value-based payment has been gravitating towards risk-based models in recent years. Many Medicare Advantage plans are founded on risk.
“They’re risk bearing in the sense that they operate on the total cost of care basis. They’re paid typically some form of a capitated per member per month payment. Then they’re responsible for the full cost of...
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