Managed Healthcare Executive January 5, 2022
Peter Wehrwein

CMS has started to experiment with a value-based version of Medicare Advantage that allows plans to tweak their offerings in various ways to see whether they might improve outcomes.

CMS has started to experiment with a value-based version of Medicare Advantage (MA) that allows plans to tweak their offerings in various ways to see whether they might improve outcomes. They can, for example, design benefits to target people with chronic conditions or in ways that take into account socioeconomic factors.

One of those possible value-based offerings is hospice benefits, which have traditionally fallen outside of Medicare Advantage. This year, 13 MA organizations are offering hospice benefits.

“Carving” hospice benefits into MA plan offerings could have some benefits, as Claire K....

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