Situation Report | April 5, 2021
The U.S. Center for Medicare and Medicaid Innovation has a new Frequently Asked Questions (FAQ) document for the Value-Based Insurance Design (VBID) Model’s Hospice Benefit Component. It provides answers to questions on claims and billing, networks and contracting, appeals and grievances, and other topics.
As background, the Hospice Benefit Component of the VBID Model is testing the quality and expenditure impact of incorporating the Medicare Part A hospice benefit into the Medicare Advantage (MA) program for Part A and Part B services, with the goal of creating a seamless continuum of care. MA Organizations who volunteer will incorporate the Medicare hospice benefit into MA-covered benefits while offering comprehensive palliative care services outside the hospice benefit for enrollees with serious illness.
HCA members with questions can contact CMS at VBID@cms.hhs.gov.