Tag: Value-Based Insurance Design

NAHC Seeks Dialogue with Hospices Involved in MA VBID Hospice Component Model

Beginning in January 2022, the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Hospice Benefit Component model entered its second year of operation. Under the model, participating MA plans include the hospice benefit among their benefit offerings, as well as transitional concurrent care, palliative care, and hospice-specific supplemental benefits. The Centers for Medicare & Medicaid Services (CMS) plans to operate the model for a total of four years (CY2021 through CY2024).

During the first year, nine MA plans participated in the model in 14 states and territories through 53 separate plan benefit packages (PBPs).  During CY2022, the second year, the model expanded to 13 MA plans (through 115 PBPs) operating in 22 states and territories.  In CY2022, that translates to a total of 461 counties in which the MA VBID Hospice Component model is operating across the nation.

The National Association for Home Care & Hospice (NAHC) is seeking to connect hospice providers participating in the model – either as in-network or out-of-network hospices — for individual conversations about their experience in the model. If you are a hospice that has served patients enrolled in the MA VBID Hospice Component model, we urge you to contact Theresa Forster (tmf@nahc.org), NAHC’s VP for Hospice Policy & Programs, to schedule a brief discussion of your discuss your experience.  Your participation will help NAHC assess the impact that the model may be having on hospice providers and the hospice benefit.

Following are the states in which the MA VBID Hospice Component Model is or has operated during CY2021 and CY2022:

  1. Alabama
  2. California
  3. Colorado
  4. Florida
  5. Georgia
  6. Hawaii
  7. Idaho
  8. Illinois
  9. Indiana
  10. Kentucky
  11. Massachusetts
  12. New Mexico
  13. New York
  14. Ohio
  15. Oklahoma
  16. Oregon
  17. Pennsylvania
  18. Puerto Rico
  19. Texas
  20. Utah
  21. Virginia
  22. Washington

Please note:  If you are a hospice provider and the VBID Hospice Benefit Component is offered in your state and you are interested in determining whether it is being offered in your service area, you must consult the list of PBPs for which CMS has posted a link HERE, sort by state and review the list of counties and zip codes where the PBPs are operating.

NAHC Seeks Dialogue with Hospices Involved in MA VBID Hospice Component Model

Beginning in January 2022, the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Hospice Benefit Component model entered its second year of operation. Under the model, participating MA plans include the hospice benefit among their benefit offerings, as well as transitional concurrent care, palliative care, and hospice-specific supplemental benefits. The Centers for Medicare & Medicaid Services…

NAHC Seeks Dialogue with Hospices Involved in MA VBID Hospice Component Model

Beginning in January 2022, the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Hospice Benefit Component model entered its second year of operation. Under the model, participating MA plans include the hospice benefit among their benefit offerings, as well as transitional concurrent care, palliative care, and hospice-specific supplemental benefits. The Centers for Medicare & Medicaid Services (CMS) plans to operate the model for a total of four years (CY2021 through CY2024).

During the first year, nine MA plans participated in the model in 14 states and territories through 53 separate plan benefit packages (PBPs).  During CY2022, the second year, the model expanded to 13 MA plans (through 115 PBPs) operating in 22 states and territories.  In CY2022, that translates to a total of 461 counties in which the MA VBID Hospice Component model is operating across the nation.

The National Association for Home Care & Hospice (NAHC) is seeking to connect hospice providers participating in the model – either as in-network or out-of-network hospices — for individual conversations about their experience in the model. If you are a hospice that has served patients enrolled in the MA VBID Hospice Component model, we urge you to contact Theresa Forster (tmf@nahc.org), NAHC’s VP for Hospice Policy & Programs, to schedule a brief discussion of your discuss your experience.  Your participation will help NAHC assess the impact that the model may be having on hospice providers and the hospice benefit.

Following are the states in which the MA VBID Hospice Component Model is or has operated during CY2021 and CY2022:

  1. Alabama
  2. California
  3. Colorado
  4. Florida
  5. Georgia
  6. Hawaii
  7. Idaho
  8. Illinois
  9. Indiana
  10. Kentucky
  11. Massachusetts
  12. New Mexico
  13. New York
  14. Ohio
  15. Oklahoma
  16. Oregon
  17. Pennsylvania
  18. Puerto Rico
  19. Texas
  20. Utah
  21. Virginia
  22. Washington

Please note:  If you are a hospice provider and the VBID Hospice Benefit Component is offered in your state and you are interested in determining whether it is being offered in your service area, you must consult the list of PBPs for which CMS has posted a link HERE, sort by state and review the list of counties and zip codes where the PBPs are operating.

CMS Releases List of MA Plans Offering Hospice under VBID Model in CY2022

On September 29, 2021, the Centers for Medicare & Medicaid Services (CMS) released the list of Medicare Advantage (MA) plans that will participate in the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model during Calendar Year (CY) 2022, including those that will participate in the MA VBID Hospice Benefit Component, which began operation in January…

CMS Webinar: 2022 Requests for Applications for VBID Model and Hospice Benefit Component

The Centers for Medicare & Medicaid Services (CMS) has announced the Value-Based Insurance Design (VBID) Model team will host a webinar, 2022 Requests for Applications for VBID Model and Hospice Benefit Component, on Thursday, January 28, 2021 from 4-5 PM ET. The webinar was originally scheduled for Thursday, January 14, 2021, but was delayed. During this webinar,…

CMS to Provide Support for CY2021 VBID Hospice Benefit Component

The Centers for Medicare and Medicaid Services (CMS) Innovation Center’s Value-Based Insurance Design (VBID) Model team will host its monthly office hours to provide technical and operational support to interested stakeholders. During office hours, presenters will answer questions received in advance to the VBID Mailbox and also offer attendees an opportunity to ask additional questions.…

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…

CMS Issues List of Plans, Locations for MA Coverage of Hospice under VBID Demonstration Model

On Thursday, September 24, the Centers for Medicare & Medicaid Services (CMS) released the list of Medicare Advantage (MA) plans that will participate in the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model during Calendar Year (CY) 2021 and information about the 2022 application process for eligible MA organizations.  Included among the list of plans…

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…