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Palliative Care, Health Equity Growing in Medicare Advantage

Hospice News

Reimbursement for community-based palliative care is gaining ground in the Medicare Advantage realm. Palliative care is among the wide range of supplemental benefits that exist within the Medicare Advantage payment landscape. This is a rise from 180 MA plans in 2023 offering palliative services and 64 MA plans in 2020.

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What Hospice VBID’s Ending Means for Palliative Care

Hospice News

The impending demise of the hospice component of U.S. Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. That problem was mirrored in the environment outside of the program.

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Payers to CMMI: We Need a Standardized Definition for Palliative Care

Hospice News

A group of health plans, policymakers, and insurance companies recently told the Center for Medicare & Medicare Innovation (CMMI) that they needed a standardized definition for palliative care in order to improve access. Centers for Medicare & Medicaid Services (CMS).

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Dynamics of Palliative Care Delivery in a Potential Medicare Benefit

Hospice News

A moving target in palliative care delivery is whether or not these services should have a dedicated benefit in the Medicare system. Most palliative care in the United States is reimbursed through fee-for-service programs, as well as Medicare Advantage, Accountable Care Organizations (ACOs) and through Medicaid in a handful of states.

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Medicare Advantage Crackdown Could Dampen Palliative Care Growth

Hospice News

Federal regulators are cracking down on the private insurers that administer Medicare Advantage (MA) plans. Centers for Medicare & Medicaid Services (CMS) began giving plans more flexibility around the definition of “primarily health-related.” based research and consulting firm ATI Advisory.

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How Hospice and Palliative Care of the Wood River Valley Built a Collaborative Care Model Without Medicare Certification

Hospice News

After more than a decade working in hospice leadership, Alli Collins came across something she had never seen before — a financially viable, all-volunteer provider that is not Medicare-certified. I am the new executive director for Hospice and Palliative Care of the Wood River Valley. Even the nurses just volunteered their time.

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The Nexus Between Palliative Care and PACE Programs

Hospice News

PACE allows hospices to offer services to address social determinants of health , such as homemaking, transportation, home modification and others. PACE programs are definitely open to capitated arrangements — per-participant, per-month. But they can pay us a portion of that,” Ferris told Hospice News. ”We’re