Hospice News June 29, 2022
Hospice and palliative care providers will need to leverage a robust suite of performance data in negotiations with Medicare Advantage plans. While most providers are tracking numbers on a range of metrics, they may need to consider a few more.
The U.S. Centers for Medicare & Medicaid Services requires MA plans to ensure they are working with providers of high-quality care. To do this, plans look closely at star ratings, quality data like the Hospice Item Set, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) scores when determining which providers to include in their networks.
But when working within Medicare Advantage, hospices will need also need to measure their performance on additional criteria to remain competitive. This will likely...
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