Where the Buck Stops, Starts in Hospice Reimbursement and Beyond

Posted Wednesday, September 27, 2023

The lines between traditional fee-for-service and value-based payment systems will become murky as regulators seek to balance rising demand with the associated costs, according to Burke Wise, cofounder of Empassion Health.

Regardless of where value-based payment is heading in the larger Medicare reimbursement landscape, hospices can anticipate some lasting impacts within their payment realm, including the possibility of more upfront financial risks, Wise indicated.

“Within fee-for-service, [the U.S. Centers for Medicare & Medicaid Services (CMS)] has expressed the goal of increasing the number of patients who are under value-based care,” Wise told Hospice News during the ELEVATE conference. “So, increasingly there will be a lot of talk in traditional Medicare … Hospice is part of that risk side of things.”

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