Direct Mailing Notification to Hospice Providers Regarding the Value-Based Insurance Design (VBID) Model, Hospice Benefit Component, Participating Medicare Advantage Organizations
MLN Connects® Newsletter Message
Value-Based Insurance Design Model: Learn about the Hospice Benefit Component
Currently, when a patient enrolled in Medicare Advantage (MA) elects hospice, Fee-for-Service Medicare becomes responsible for coverage and payment of most services, while the MA plan remains responsible for certain services like supplemental benefits. Under the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model, participating MA plans are financially responsible for all Part A and B benefits, including the hospice and supplemental benefits. CMS is assessing how this affects care delivery and quality of care, especially for palliative and hospice care.
For CY 2024, 13 participating MA organizations offer 78 plan benefit packages through the Model. We sent information and resources to affected hospices in December. Learn more about the Hospice Benefit Component to prepare for future years.
See the instruction to your Medicare Administrative Contractor (PDF).