Posted April 9, 2023
CMS will allow hospice patients to receive concurrent care through the Medicare Advantage hospice carve-in, and will permit health plans to further restrict utilization of out-of-network providers.
Originally slated to end in 2024, CMS recently extended the carve-in, formally known as the hospice component of the value-based insurance design model (VBID). During those additional years, patients will be able to receive both curative treatments and hospice care.
“Typically, Medicare enrollees who choose hospice services give up their right to receive health care services that are ‘curative.’ Under the model extension, beginning in 2025, CMS will more closely align flexibilities for concurrent care with those offered in other CMS Innovation Center models,” CMS indicated today on its website. “By offering greater flexibility for [Medicare Advantage Organizations (MAOs)] to partner with in-network providers to deliver innovation, this will allow patients to receive more person-centered care at end of life.”
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