Hospices: Aggregate and Inpatient Caps under the Value-Based Insurance Design Model

Published 04/11/2022

Is your Medicare patient enrolled in a Medicare Advantage plan that’s participating in the Value-Based Insurance Design (VBID) Model’s Hospice Benefit Component? If so, you can’t include your Medicare Advantage plan payments for these patients in calculating your aggregate and inpatient cap payments for January 1, 2021–December 31, 2024, the performance period of the Model component.

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