Medicare Advantage Coverage of Hospice Care: Opportunities, Risks and Insights is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.
Description:
Under the Medicare Advantage Value-Based Insurance Design (VBID), Hospice Benefit Component demonstration MA plans may – for the first time ever – include hospice care among their benefit offerings. The four-year demonstration program started in January 2021 and has grown in scope, but aspects of the model are changing over time, including the anticipated application of a new “network adequacy” standard beginning in 2023. This session will provide insights into key elements of the model, how in- and out-of-network hospices are variably impacted, describe various hospice providers’ experience under the model, and identify key considerations related to contracting with MA plans as an in-network hospice provider.
Learning Objectives
• Identify key elements of the MA-VBID Hospice Benefit Component Model, including additional benefits offered.
• Discuss changes to the model over the years in which it has operated, including the network adequacy standard.
• Outline how the model variably impacts in- and out-of-network hospice providers, including opportunities for these hospices.
• Identify key considerations for hospices in making decisions around potential contracting with MA plans as an in-network provider of services.
Faculty:
Melinda Gaboury, COS-C
Nursing 1.6 Contact Hours awarded.
Nursing Contact Hours for this module will expire on August 1, 2024.