Hospice News April 1, 2022
The U.S. Centers for Medicare & Medicaid Services (CMS) has dipped its toes into value-based reimbursement for palliative care. Interest in these programs is growing among providers, but many find barriers that block their access or limit their ability to scale.
The most visible attempt began in 2020 when CMS began allowing Medicare Advantage (MA) plans to cover palliative care as a supplemental benefit. Analysis by the consulting firm ATI Advisory indicated that the number of Medicare Advantage plans offering home-based palliative care coverage jumped to 134 in 2021, up from 61 the prior year.
Additionally, CMS is currently testing the inclusion of hospice in MA through its value-based insurance design (VIBD) model demonstration, which contains palliative care components....
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