Posted on Monday, November 16, 2020
CMS is adding hospice component to the Medicare Advantage Value-Based Insurance Design (VBID) Model starting in January. Spanning a four-year period, and it could have long-term impacts for on all hospices.
The program will be available to beneficiaries in 13 states and Puerto Rico. Of the plans that are offering the carve-in, more than 20 are from Puerto Rico, which represents almost half of the current overall Medicare Advantage hospice penetration rate.
“Medicare Advantage penetration rates in Puerto Rico are at the highest, with 72% penetration according to the recent Medicare numbers,” said Kevin León, president of miEMR Inc., an electronic medical record and billing software company for hospices based in San Juan. “The scenario in Puerto Rico is not the same that you are living in the [mainland] United States because we are starting with 400,000 patients out of 600,000 patients who are under managed care with Medicare Advantage organizations. That represents 66% of the total amount of patients enrolled who are going straight into that model. That represents those 400,000 lives. The amount of Medicare Advantage organizations working under the pilot [in the mainland United States] will be very, very low when you compare it to Puerto Rico.”
Click here for the full article.
For over 30 years, Corridor has partnered with home-based care providers, delivering powerful solutions to support the unique challenges of caring for patients in the home. Our team of operating executives, clinicians, and nationally renowned industry experts have run provider organizations and resolved the same challenges you face.
Focusing on key operational, regulatory and financial challenges, Corridor delivers solutions and deep expertise in coding, clinical documentation, compliance, billing and education.
To receive the most important industry updates, insights and news impacting home health and hospice, please make sure to sign up for our weekly newsletter.
For additional information, please contact Corridor at 1-866-263-3795.