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…

CMMI to Host Part 2 of Direct Contracting Model Options Payment Webinar

This webinar is a follow-up to the January 22 webinar The Center for Medicare and Medicaid Innovation (CMMI) will host an office hours session on February 11, 2020 as a follow-up to the Direct Contracting Model Options Payment Part 2 Webinar on January 22nd to present and answer questions on the Direct Contracting model’s payment…

CMMI Releases Second Annual Report on Home Health Value Based Purchasing

The Centers for Medicare and Medicaid Innovations (CMMI) has issued the second annual report on the Home Health Value Based Purchasing (HHVBP) program. The report reflects the performance of participating agencies and non- participating agencies (as a comparison group) for calendar years 2016 and 2017. The total points scores (TPS) for agencies in HHVBP states…

Legislation to Extend Key Home Care Programs Proposed in Senate

Bipartisan leadership of the Senate Finance Committee has announced proposed legislation providing for the extension of several programs within Medicare and Medicaid. Commonly referred to as an “extenders package” the legislation provides for the continuation of programs that are currently on track to exhaust their current funding allocation. Notable to home care and hospice providers…

CMMI to Host Direct Contracting Model Options Payment Webinar

The Center for Medicare and Medicaid Innovation (CMMI) will host a webinar on January 15, 2020 from 1:00 PM to 3:00 PM EST to provide an overview of the Direct Contracting model’s payment methodology. REGISTER HERE. During the session, the Direct Contracting model team will present on key aspects of the Direct Contracting financial model,…

CMS to Host Important Overviews on Direct Contracting Models

The Center for Medicare and Medicaid Innovation (CMMI) will host two events on direct contracting models on January 7 and January 8, intending to provide an overview of the topic and answer questions about the model. In spring 2019, the Centers for Medicare & Medicaid Services (CMS) announced plans to test Direct Contracting models through…

CMS Posts RFA, Webinar Schedule for Primary Care First Innovations Model

October 30, 31 Webinars Review Application Process, Details of SIP Segment NAHC Report has previously published (HERE and HERE) information regarding the Centers for Medicare & Medicaid Services’ Center for Medicare and Medicare Innovations (CMMI) Primary Care First model.  In recent days, the Request for Applications (RFA), which starts the model application time frame, was…

CMS Provides Additional Detail Surrounding Primary Care First Seriously Ill Population Model

Since the Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation (CMMI) announced its initial plans for the Primary Care First (PCF) model options, and specifically the PCF Seriously Ill Population (SIP) model, hospice and palliative care providers have been interested in securing additional information about potential options for their participation. …

CMS Webinar to Provide Updates on Seriously Ill Population Payment Model

In late April the Centers for Medicare & Medicaid Services (CMS) announced further plans to encourage primary care practices to participate in value-based payment arrangements under new “Primary Care First” models.  A specific Primary Care First model – the High Need Model — is designed to serve Seriously Ill Population (SIP) patients. CMS anticipates that Medicare-enrolled…