CMS Issues Billing Guidance Related to Planned Test of Hospice-MA Carve-In

—Despite MA Coverage under Demonstration, Hospices Will Continue to Submit Claims to MACs As announced first in January 2019, starting in calendar year (CY) 2021 (and through CY2024) the Centers for Medicare & Medicaid Services (CMS) will begin a demonstration program under the Value-Based Insurance Design (VBID) model to test coverage of hospice care as…

CMS Announces Hospice MA-VBID Model Webinar Series

In January 2019, the Centers for Medicare & Medicaid Services (CMS) announced plans to test inclusion of the Medicare hospice benefit under the Medicare Advantage (MA) benefit package through its ongoing Value-Based Insurance Design (VBID) MA demonstration program.  Additional details around the model were released in late December as part of CMS’ Request for Applications…

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…

Open Door Forum Summary: Updates on iQIES Transition Update and Home Health & Hospice

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, & DME Open Door Forum (ODF) on January 8, 2020.  A summary is provided below, beginning with home health and followed by hospice. HOME HEALTH iQIES Transition CMS indicated in the ODF that it is aware of several issues with the iQIES…

CMS Gives Early Plans for Testing Hospice in Medicare Advantage

–Opportunities for Stakeholder Input, Additional Details Expected Over Coming Months On April 9, the Centers for Medicare & Medicaid Services (CMS) held a one-hour webinar during which officials from the Center for Medicare & Medicaid Innovations (CMMI) provided a “first look” at plans for a test program under which Medicare Advantage (MA) plans participating in…

CMS Announces Plans to Test Coverage of Hospice under Medicare Advantage

–“VBID” Plans may offer coverage beginning CY2021 As part of a release announcing a “broad array of Medicare Advantage (MA) health plan innovations that will be tested in the Value-Based Insurance Design (VBID) model for CY2020,”  the Centers for Medicare & Medicaid Services’ (CMS)  has indicated it plans, beginning in CY2021, to test including the…