New FAQ for Hospice Benefit Component of the Value-Based Insurance Design Model

The Center for Medicare and Medicaid Innovation (Innovation Center) has posted a new Frequently Asked Questions (FAQ) document as an additional resource for the Value-Based Insurance Design (VBID) Model’s Hospice Benefit Component. This FAQ document can be found on the Model website and provides answers to questions on claims and billing, networks and contracting, appeals and grievances, and…

CMS Announces Further Delay of Primary Care First-Seriously Ill Population Model

Geographic Direct Contracting Model also under review On Friday, March 5, with little fanfare, the Centers for Medicare & Medicaid Services (CMS) announced a further delay of its Primary Care First-Seriously Ill Population (PCF-SIP) physician payment model, a component of the PCF that has been closely followed by the hospice and palliative care community. PCF-SIP…

Biden Admin Taps Obama Veteran Liz Fowler to Run CMMI

The Biden administration has announced the appointment of Liz Fowler to serve as administrator of the Center for Medicare & Medicaid Innovation (CMMI), a part of the Centers for Medicare & Medicaid Services. The position of CMMI Administrator does not require Senate approval. Roughly 600 employees work at CMMI. Like many Biden appointees, Fowler is…

Home Health Value-Based Purchasing (HHVBP) Model Expansion

The U.S. Department of Health and Human Services (HHS) announced  late last week that the Home Health Value-Based Purchasing (HHVBP) Model will be expanded, with implementation being created by rulemaking no earlier than January 1, 2022. NAHC is working to obtain additional information and share that in NAHC Report when it becomes available. A nationwide expansion was…

NAHC Urges CMS, CMMI to Delay Hospice VBID Implementation

The National Association for Home Care & Hospice (NAHC) has written to Seema Verma, the Administrator of the Center for Medicare & Medicaid Services (CMS) and Brad Smith, the Director of the Center for Medicare & Medicaid Innovation (CMMI) to urge them to mplement a one-year delay of the Hospice Component of the Medicare Advantage VBID Demonstration…

CMS Announces Innovation Model for Rural Health Care

The Centers for Medicare & Medicaid Services (CMS) Innovation Center has announced a new model of health care delivery designed to increase access and quality of care to rural beneficiaries, while increasing rural provider’s financial sustainability. The Community Health Access and Rural Transformation (CHART) Model provides funding, regulatory and operational flexibilities, and technical assistance for…

CMS to Host Pain Management Study Listening Session

The Centers for Medicare & Medicaid Services (CMS) will hold pain management study webinar on Thursday, August 27, 2020 from 1:30-3:00PM Eastern for clinicians and state and national associations that represent health care providers Significant legislation signed into law in late 2018 (The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities…

CMS Modifies Innovations Models in Response to COVID-19 Public Health Emergency

On June 2, 2020, the Centers for Medicare & Medicaid Services (CMS) announced plans to modify aspects of various innovations models being administered by the Centers for Medicare & Medicaid Innovation (CMMI) in response to COVID-19 public health emergency (PHE).  As part of its announcement CMS issued a table containing specific model adjustments related to…

CMS Outlines Planned Payment for Hospice Medicare Advantage Coverage under VBID Test

In CY2021 the Centers for Medicare & Medicaid Services (CMS) plans to test coverage of hospice as part of the Medicare Advantage (MA) benefit package through its ongoing Value-Based Insurance Design (VBID) model. (See this NAHC Report article for more information.)  A December 2019 Request for Applications (RFA) outlining of the model, participating plans must…

House Legislation Takes Aim at CMMI Models

Bill Presses for Greater Transparency, Strengthened Oversight Key members of two House committees with jurisdiction over Medicare and Medicaid have introduced legislation to increase oversight and accountability of the Centers for Medicare & Medicaid Innovation (CMMI). CMMI is the division of the Centers for Medicare & Medicaid Services (CMS) having broad authority to test innovative…