Hospice News February 2, 2021
Value-based payment programs are opening up to hospices in 2021, including a mix of risk- and performance-based models. These new payment systems come at a time when hospices face stiff competition from other care providers entering the market.
The Primary Care First initiative and the Seriously Ill Population payment programs are expected to have reaching impacts on hospice and palliative care providers, as will a drive towards Medicare Advantage.
One of the challenges of navigating a new reimbursement system for hospices includes grasping the concepts of risk- versus performance-based payment methodologies. The nuances of each have many hospices grappling to keep with evolving changes in policy.
“In a risk-based system, you receive a full payment if your metrics are good....