The First Year of Hospice VBID is the Hardest for Payers and Providers

Posted Wednesday, October 18, 2023

CMS commissioned the RAND Corp. to conduct the analysis of the implementation of the Medicare Advantage hospice carve-in program, formally called the hospice component of the value-based insurance design model (VBID). CMS launched the carve-in in 2021. The RAND analysis released this week covers the calendar year 2022.

The results suggest that the first year of participation is the hardest for both payers and providers.

“Hospices and new insurers reported substantial implementation challenges, but insurers with more than one year of experience with VBID reported fewer challenges, suggesting that implementation is becoming easier over time,” CMS indicated in a fact sheet.

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