Hospice VBID: Understanding the 2023 Program Modifications

Posted December 14, 2022

The hospice component of the value-based insurance design (VBID) model will begin its third year on Jan. 1, 2023, and some of the program’s rules will change.

For the final two years of the program, payers will have more leeway when it comes to payment rates and patient access to hospice providers outside of their health plan’s network, according to Bill Dombi, president of the National Association for Home Care & Hospice (NAHC). “It’s operating in a framework [in 2021-2022] that’s not going to continue [as of 2023],” Dombi told Hospice News. “There’ll be more reliance on network providers, as well as payment rates being controlled by the plans more so than the current fee-for-service rates. VBID was on our radar from Day 1, and it’s unfortunately still on our radar because of this expansion. “The U.S. Centers for Medicare & Medicaid Services (CMS) has indicated that hospices should ensure that their billing staff is familiar with the 2023 modifications.

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