LeadingAge Et Al Request Delay of Hospice Carve-In Demo

Center for Managed Care | April 13, 2020 | by Nicole Fallon

LeadingAge, VNAA/ ElevatingHOME, and the Better Medicare Alliance jointly requested a of the Value-Based Insurance Design demonstration that seeks to test the inclusion of hospice benefits for enrollees in Medicare Advantage plans. 

LeadingAge, the Visiting Nurse Associations of America (VNAA) and ElevatingHOME (EH), and the Better Medicare Alliance (BMA ) jointly submitted a letter to the Center for Medicare and Medicaid Innovation (CMMI) on April 13 requesting a one-year delay of the Value-Based Insurance Design (VBID) demonstration that seeks to test the inclusion of hospice benefits for enrollees in Medicare Advantage plans. 

Participation in the VBID demonstration is voluntary and would require MA plans to submit an application to participate in the Hospice Benefit omponent of the VBID demonstration  carve-In model by April 24. This component of the demonstration is scheduled to begin with the 2021 plan year. LeadingAge and its co-signers argued to CMMI that it should give the demonstration the best chance of success by delaying it a year instead of starting it under the cloud of COVID-19.

Should CMMI delay the hospice benefit component, nothing would change about the delivery of the Medicare hospice benefir for the 2021 plan year. Currently, when a MA plan enrollee elects hospice, hospice services and other unrelated Part A and B costs are covered by Medicare Fee For Service. MA plans continue to cover unrelated Part D costs and supplemental benefits in these situations.