This week’s MLN reviewed the Value-Based Insured Design Model payment for hospice services. Under the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model, participating Medicare Advantage Organizations (MAOs) retain responsibility for all Original Medicare services, including hospice care. MAOs must pay for:
- Non-hospice care provided to a hospice enrollee during a hospice stay, such as the items, drugs, or services that are furnished to treat a condition unrelated to the terminal illness and related conditions
- Other non-hospice care (items, drugs, or services) that are furnished after a hospice stay ends (in the event of a live discharge, including non-hospice care provided on the last day of the stay through the end of the calendar month that the hospice stay ends)
The article links to relevant manuals and policy covering hospice services: Section 90 Medicare Benefit Policy Manual, Chapter 9 (PDF), VBID Model Hospice Benefit Component Billing & Payment webpage, Calendar Year 2021 Technical and Operational Guidance
