Hospice News May 4, 2022
The United States lacks a robust reimbursement system for palliative care. While stakeholders work towards change, providers are developing innovative ways to work with what they have to bring this care to patients in need.
Historically, the U.S. Centers for Medicare & Medicaid Services (CMS) has reimbursed palliative care through a fee-for-service model that only covers physician and licensed independent practitioner services, rather than the full range of interdisciplinary care.
In recent years, the agency has allowed for some value-based reimbursement through Medicare Advantage supplemental benefits and some Accountable Care Organization arrangements. The Center for Medicare & Medicaid Innovation has also included palliative care elements within the value-based insurance design model demonstration.
While these programs have opened some pathways, they...
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