Home Health & Hospice Week
Hospice Medicare Advantage VBID Carve-In Area Shrinks A Bit Geographically
The Medicare Advantage hospice carve-in will change shape a bit next year, Medicare officials have revealed. “Under the Value-Based Insurance Design (VBID) Model, in Calendar Year (CY) 2024, thirteen Medicare Advantage Organizations (MAOs) will participate in the Hospice Benefit Component, offering 78 plan benefit packages (PBPs),” the Centers for Medicare & Medicaid Services says on its VBID plans webpage. Four plans are dropping out this year, CMS notes: Catholic Health Care System in New York; Elevance Health Inc. (MMM Healthcare) in Puerto Rico; Presbyterian Healthcare Services in New Mexico; and UnitedHealth Group in Alabama, Illinois, Oklahoma, and Texas. Two others, Commonwealth Care Alliance Inc. in Massachusetts and Intermountain Health Care Inc. in Idaho and Utah, dropped out in previous years. Two new plans will participate in 2024, points out The Health Group in its electronic newsletter: First Sacramento in Texas and Sentara in Florida. “In 2023, 15 plans provided 119 benefit packages covering 806 counties in 24 states and territories,” the accounting and advisory firm highlights. “In 2024, coverage now consists of 13 plans providing 78 benefit packages covering 609 counties in 20 states and territories,” The Health Group says. More information is at www.cms.gov/priorities/innovation/innovation-models/vbid/vbid-hospice-benefit-participating-plans.
Home Health & Hospice Week
- Value-Based Purchasing:
Put October Value-Based Purchasing IPRs On Your Calendar
Get more info on whether you’ll see a pay boost or penalty based on your [...] - Reimbursement:
HHAs Get Fuller Picture Of Their VBP Payment Fate With October IPR’s Total Performance Score
TPS isn’t binding yet, however. With home health agencies nearly three-fourths done with their first [...] - Hospice:
SFP Burdened With A Plethora Of Flaws, Providers Warn CMS
From CAHPS issues to surveyor shortfalls, serious faults dog the program — and could close [...] - Surveys & Certification:
Medicare Should Change These 5 Things About SFP, Commenters Urge
Start with taking CMS’ foot off the gas pedal. Hospices are not happy with Medicare’s [...] - Telehealth:
Home Health Telehealth Needs Watching, OIG Tells Medicare
Have agencies learned from their initial mistakes? In the early days of the COVID-19 public [...] - Industry Notes:
HRSA Continues To Recoup PRF Relief Funds
Heads up: RP 6 reports are due Dec. 31. As more reporting period deadlines for [...] - Industry Notes:
Tackle Coding Conundrums For BIMS, N0415 With New Educational Tools From Medicare
Boost your assessment staff ’s OASIS accuracy with two new educational tools from Medicare. BIMS: [...] - Industry Notes:
Hospice Medicare Advantage VBID Carve-In Area Shrinks A Bit Geographically
The Medicare Advantage hospice carve-in will change shape a bit next year, Medicare officials have [...] - Industry Notes:
Head Off Steep Settlements With Smart Onboarding Checks
If you don’t have a spare $150K lying around, then be sure to check your [...] - Industry Notes:
Equity Reports To Hit Post-Acute Providers In October
Keep watch for two new equity-focused reports coming your way next month — the Discharge [...] - Industry Notes:
Take A Look At New Medicaid Hospice Payment Rates
Check out Medicaid payment rates for hospice services at www.medicaid.gov/sites/default/files/2023-09/medicaid-hospice-rate-letter-FY2024.pdf. Rates take effect Oct. [...]
