Quality Data, Education Key to Hospice-Payer Relationships in VBID

Posted Sunday, June 13, 2021

Critical to success as hospices begin to work within the value-based insurance design (VBID) demonstration is leveraging quality data and education when establishing payer relationships. The program started small in its first year, but stakeholders expect it to expand in 2022 and 2023. Data will play a key role for providers to help payers connect the dots between cost savings and hospice care.

According to CMS, the demonstration is intended to increase access to hospice services and to provide care coordination. The VBID demonstration launched Jan. 1.

“Hospice has been very insulated. It’s at a very small level outside of Medicare. Many thought VBID would get pushed off, and then the pandemic showed up,” Bethany Snider, M.D, SV and CMO of Hosparus Health told Hospice News during the Home Health Care News Medicare Advantage summit. “This is still the future, and I hope more payers get into it and reach out to partners and providers like hospices to help do this work together. Part of the demonstration is to figure out what is the best way to administer the hospice benefit in a different way, and hopefully establish a palliative care benefit and payment structure. This is where innovation occurs.”

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