Hospice News December 3, 2021
When it comes to putting value-based payment arrangements in action, regulators and payers have gaps to fill in around billing and quality measurement. Some community-based hospice providers in particular have reported “tremendous confusion” regarding risk-bearing models as they look ahead to new and growing payment model demonstrations.
The first steps came with the hospice components of the value-based insurance design (VBID) demonstration, known as the Medicare Advantage (MA) hospice carve-in, which is nearing the start of its second year. Additional models taking shape include the direct contracting program and Primary Care First, among others, as well as forthcoming, yet-to-be announced demonstrations from the Center for Medicare & Medicaid Innovation (CMMI).
Hospices have been preparing for a shift to more risk-...
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