Value-Based Insurance Design (VBID) Model - Implementation of the Hospice Benefit Component


This article informs you of the implementation of the hospice benefit component associated with the VBID Model, being tested by the Centers for Medicare & Medicaid Services (CMS) Innovation Center and starting in Calendar Year (CY) 2021. The hospice benefit component of the Model will be tested through CY 2024. Thus, the Model test will apply when the Hospice Election Start Date is on or after January 1, 2021 and prior to January 1, 2025. Please make sure your billing staffs are aware of this update as providers MUST still submit claims for these services to Medicare. Non-contracting providers must also submit the same billing forms used to bill original Medicare to plans participating in the VBID Model’s hospice benefit component for payment.




Last Updated: 06/11/2020