Third Evaluation of Medicare Care Choices Model Finds High Satisfaction and Savings

Last month the Centers for Medicare & Medicaid Services (CMS) released its third annual report evaluating findings of the Medicare Care Choices Model (MCCM).  Broadly speaking, the evaluation indicates that the model holds great promise – beneficiaries enrolled in the model were 20 percent more likely to enroll in hospice and entered hospice one week…

New Target Area for Hospice PEPPER

The 2021 release of the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER), anticipated spring  2021, will include at least one new target area – Average Number of Part D Claims per Hospice Episode.  This target area will measure the count of Medicare Part D claims for beneficiaries billed during hospice episodes in the…

CMS Issues Technical/Operational Guidance for MA-Hospice Demonstration Model (Part 2 of 2)

Read part 1 of this article published in NAHC Report yesterday. Also see this article about CMS VBID webinars. In recent days, the Centers for Medicare & Medicaid Services (CMS) issued “Value-Based Insurance Design Model (VBID): Hospice Benefit Component, Calendar Year 2021 Technical and Operational Guidance,” (Technical Guidance) containing supplemental technical guidance for both VBID…

CMS to Host Education on Hospice Benefit Component of Value-Based Insurance Design

  The Centers for Medicare and Medicaid Services (CMS) Innovation Center’s Value-Based Insurance Design (VBID) Model team will host a technical support webinar to provide an overview of the Hospice Benefit Component Technical and Operational Guidance. Further, starting later this month, the VBID Model team will host monthly office hours for interested stakeholders to learn more…

NAHC Supports Waiver of Electronic Prescribing Requirements for Part D-covered Controlled Substances Prescribed for Hospice Patients

The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act), enacted in 2018 to help combat the nation’s opioid epidemic, includes a requirement that prescriptions for controlled substances covered under Medicare Part D drug plans be electronically transmitted by a health care practitioner in accordance with an electronic…

MedPAC Discusses Future Directions in Hospice Payment Reforms

–Seeks Solution for Long-Stay Incentives and Troublesome Utilization Patterns On October 1, the Medicare Payment Advisory Commission (MedPAC) began discussions of future directions for hospice payment policy. Hospice has undergone payment changes in recent years, including creation of a two-tiered payment system for Routine Home Care (RHC) and more recent recalibration of payments between the…

COVID-19 Nursing Home Commission Issues Final Recommendations; Addresses Issues Relevant to Hospice Care in Facilities

In response to the ongoing and widespread impact of the COVID-19 public health emergency (PHE) on nursing home residents throughout the country, the Centers for Medicare & Medicaid Services (CMS) authorized creation of an independent National Commission on Safety and Quality in Nursing Homes to address safety and quality in nursing homes in relation to…

CMS Updates Nursing Home Visitation Guidance

The Centers for Medicare & Medicaid Services (CMS) recently released a memo updating the visitation guidelines for nursing home residents.  The memo also includes information on “compassionate care situations”, access of vendors an contracted staff (i.e. hospice staff), and the use of Civil Money Penalty (CMP) funds to purchase tents for outdoor visitation and/or clear…

Quality Reporting Program Tip Sheets and Training and Education Resources

The Centers for Medicare & Medicaid Services (CMS) has announced that the COVID-19 PR Tip Sheets are now available for the home health quality reporting program (HH QRP) and the hospice quality reporting program (HQRP). The purpose of the tip sheets is to help providers understand the Centers for Medicare & Medicaid Services’ (CMS) public…

CMS Clarifies Hospice Election Statement and Election Statement Addendum

NAHC Hospice Webinar Series: Modified Hospice Election Statement and NEW Election Statement Addendum – Part I New hospice webinar series begins Wednesday, September 16, 2020 from 2:00 to 3:30 PM Eastern. REGISTER NOW! The Centers for Medicare & Medicaid Services (CMS) finalized in the Fiscal Year (FY) 2020 Hospice Wage Index and Payment Rate Update…