Hospice News October 14, 2020
Patients covered by Medicare Advantage plans who are faced with the decision of whether to elect hospice may be discouraged by the need to transition off their health plan for most of their care. This practice that has the potential to change through the forthcoming value-based insurance design model demonstration, often called the Medicare Advantage hospice carve-in.
Starting in 2021, payers and hospice providers will have the option to participate in a demonstration project testing the inclusion of hospice in VBID. The carve-in is designed to assess payer and provider performance within Medicare Advantage.
“I think one of the challenges previously had been that there was this sort of awkward benefit challenge around hospice and [Medicare Advantage] members’ admissions....