Congressional Activity Reflects Strong Interest in Palliative Care

A series of bicameral and bipartisan actions in Congress in recent weeks has signalled strong support for the expansion and strengthening of palliative care in the United States. As the population ages and more people live longer with greater disability and disease, policymakers are increasingly motivated to build out the palliative care infrastructure so that…

Webinar: Unleashing the Capabilities of MAOs to Deliver Health Innovation for Older Adults in Underserved Settings

  • Thursday, October 7
  • 2:30PM – 4:00PM ET

As part of a broader partnership, CMMI, the Office of the Assistant Secretary for Health (OASH) and the Administration for Community Living (ACL) are jointly sponsoring a webinar titled, Unleashing the Capabilities of MAOs to Deliver Health Innovation for Older Adults in Underserved Settings on October 7 from 2:30-4:00 PM ET to highlight the emerging, numerous opportunities for MAOs to support beneficiaries in more fully meeting their care needs and goals through novel approaches and services enabled by technology.

The webinar will provide an overview of the data supporting these opportunities and will include a panel of three speakers from payer organizations, each of whom will provide an overview of their experience and results in innovating in the use of technology to address unmet enrollee health needs.

Panelists include:

  • Mona Siddiqui MD, MPH, Senior Vice President for Enterprise Clinical Strategy and Quality at Humana, who will discuss Humana’s approach to the use of data and predictive modeling to proactively engage and provide care for the highest risk and most vulnerable populations;
  • John Wiecha, Medical Director, Senior Products Division at Point32Health, representing the newly combined organizations of Harvard Pilgrim Health Care and Tufts Health Plan will provide an overview of a recent pilot project to improve dementia care through a digital caregiver support program; and
  • Caesar A. DeLeo, MD, MHSA Vice President & Executive Medical Director Strategic Initiatives, Highmark Health Enterprise Clinical Organization, Highmark BCBS who will discuss Highmark’s experience with telemedicine to approach substance use disorders during the pandemic and results from a five-year data driven program addressing appropriate opiate prescribing through profiling and academic detailing.

The webinar offers attendees the opportunity to gain a better understanding of the evidence and potential of several technology-enabled services in improving access, quality and outcomes of care, including, importantly, for underserved populations and will provide MAOs with insights more broadly on the challenges and solutions in design, implementation and evaluation of innovative and technology-enabled service.

MAOs that are considering such innovations who may wish to target the use of technology-enabled and/or other services based on chronic illness and/or Low-Income Subsidy (LIS) status through the VBID Model are encouraged to attend.

Home Care & Hospice Advocates: Mobilize for these 4 Priorities!

NAHC advocates for home care, home health, and hospice patients and providers every day, but there is nothing like “people power” to motivate our elected representatives to action. Your phone calls, emails, and social media posts directed at members of Congress really do make a difference. Every congressional office closely monitors messages from constituents and…

Bipartisan Senate Bills Promote Community-Based Palliative Care & Hospice Transfusion Demonstrations

Late on July 29, U.S. Senators Jacky Rosen (D-NV) John Barrasso (R-WY), Tammy Baldwin (D-WI), and Deb Fischer (R-NE) – co-chairs and co-founders of the Senate Comprehensive Care Caucus – announced the introduction of the bipartisan Expanding Access to Palliative Care Act (S. 2565). Senators Rosen, Barrasso, and Baldwin also announced the introduction of their bipartisan…

NAHC Submits Hospice, Palliative Care Recommendations for HCBS

Medicaid coverage of home and community-based services (HCBS) is, by far, the leading source of support for health care in the home for millions of individuals with disabilities and infirmities of all kinds.  This important area of health care has received notable focus in recent months, including as part of President Biden’s “Build Back Better”…

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…