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Payer Partnerships ‘Critical’ in VBID: Ohio’s Hospice, Pure Healthcare Contract with Aetna

Hospice News

CVS Health Corporation (NYSE: CVS) subsidiary Aetna has selected Ohio’s Hospice and Pure Healthcare as part of the insurance company’s hospice and palliative care preferred provider network for Value-Based Insurance Design (VBID) in the Buckeye State. “This would allow for greater flexibility than the current Medicare model provides.”

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Hospice’s Post-VBID Value-Based Outlook

Hospice News

The post-Medicare Advantage hospice carve-in landscape could include wider value-based reimbursement avenues in the hospice space, leading providers to pivot into MA payer relationships. You need to be at the table with Medicare Advantage plan negotiations and make yourself known. a hospice and home care consulting company.

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Hospices Welcome VBID’s Demise, But Questions Remain

Hospice News

The Medicare Advantage hospice carve-in will be carved back out by the end of this year. Many operators were glad to see it go, but the questions the demo sought to answer still linger. Notwithstanding, the benefit is highly successful under original Medicare in delivering compassionate end-of-life care for patients and families.

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Androscoggin CEO: Modernization of the Hospice Benefit is Coming With VBID

Hospice News

As the hospice community takes its first steps into value-based reimbursement, stakeholders have an opportunity to re-examine elements of the Medicare Hospice Benefit that may be outdated, according to some providers. The hospice benefit became a formal part of Medicare in 1983. Initially, the U.S.

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Payers to Hospices: Don’t Wait to Start Working with MA Plans

Hospice News

Over time, Medicare Advantage plans will likely have a greater presence as hospice payers, and now is the time for providers to build relationships those organizations. billion nonprofit Medicare Advantage (MA) organization that covers more than 285,000 members across California, Arizona, Nevada and Texas. SCAN is a $4.3

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CMMI Working on Payment Models That Include Palliative Care

Hospice News

The Center for Medicare & Medicaid Innovation (CMMI) is developing new reimbursement pathways for palliative care. As part of that process, CMMI is applying elements of its Medicare Care Choices Model (MCCM) demonstration, which ended Dec. They also were more likely to eventually accept the Medicare Hospice Benefit.

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Key Trend for Hospices to Watch: Managed Care Becomes a Juggernaut

Hospice News

Though hospices operate within the dedicated Medicare benefit, market forces in the system at large wield considerable influence on how they operate — including the meteoric rise of managed care. million beneficiaries are currently enrolled in Medicare Advantage, according to the U.S. We don’t shy away from managed Medicare.

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