VBID: What Hospice Needs to Realize About Medicare Advantage

Monday, October 24, 2022: 11:30 AM - 12:30 PM

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Description

This session will cover the details of the Value-Based Insurance Design (VBID) Model – Hospice Benefit Component. Medicare Advantage (MA) has long had coverage for home health patients, but there has never been coverage for Hospice under the MA benefit. VBID is a demonstration that began January 1, 2021 and continues for 5 years. There are multiple Medicare Advantage Organizations (MAO) that are participating and have coverage in multiple states. In addition to Hospice care there is an expansion of Palliative Care services that are offered to patients through the MAO. CMS is testing how the hospice benefit component can improve beneficiary care through greater care coordination, reduced fragmentation, and transparency in line with recommendations by the Office of Inspector General (OIG), the Medicare Payment Advisory Commission (MedPAC) and others. Hospice must prepare as more and more MAOs are participating in VBID to offer the hospice benefit to their beneficiaries.

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Topic(s)

• 
  Medicare Advantage

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Methodology

Course Level: Intermediate; 1.2 Accounting CPEs (NASBA/RE) 1 Nursing CNEs contact hours

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Learning Outcomes

1. Outline the VBID Model Structure, defining the MAO plans that are participating.
2. Review details of the revenue cycle process when you admit a patient that is enrolled in a participating
plan.
3. Review the future changes that are being considered for VBID.

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Handout(s)

• AM22-306