Hospice providers have increasingly adopted predictive analytic systems to identify patients in need of their services further upstream in their disease trajectory, as well as to demonstrate their value to payers and referral partners, including Medicare Advantage plans. The U.S. Centers for Medicare & Medicaid Services (CMS) will begin allowing hospices to participate in Medicare Advantage in 2021 with the value-based insurance design demonstration project.
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Change is coming for hospices in 2021 as the industry starts to shift towards value-based payment models, including the Primary Care First initiative. As the implementation dates for these programs approach, hospices need to identify the value proposition and revenue potential for each of the models that will fall under the auspices of that program.
Health care technology firm Acclivity Health Solutions has designed a program to help hospice and palliative care providers prepare themselves for participation in the Primary Care First Serious Illness Population (SIP) payment model.