CMS has published its final payment capitation rates that reveal the amounts the agency will provide to Medicare Advantage plans to offer hospice coverage through the value-based insurance design demonstration project, commonly called the “carve-in”, which will begin on January 1,2020.  They did not indicate what percentage of would go to hospice providers, the presumption is that will be decided between health plans and hospices.

“It’s important to note that these rates are what CMS will pay to plans that participate in the model, and these rates incorporate a number of factors that can vary widely across hospices in any specific area, including aggregate cap status and variability in levels of care,” Theresa Forster, vice president for hospice policy for the National Association of Home Care & Hospice, said. “Ultimately it will be the contractual agreement between the [Medicare Advantage] plan and the individual hospice that will govern what a hospice is paid.”

Click here for the full article.


About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliancebilling and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.