AGG Hospice CMS Quarterly Report
CMS Announces Hospice Capitation Rates for Medicare Advantage
The U.S. Centers for Medicare and Medicaid Services (CMS) recently released the capitation rates for
hospice care through the value-based insurance design model (VBID), often referred to as the Medicare
Advantage hospice carve-in.
During the first month of a patient’s stay, Medicare Advantage organizations (MAOs) will receive Medicare
A/B capitated payments, a Medicare Advantage rebate, and a monthly prescription drug payment. MAOs
will also receive a capitation payment corresponding to the number of days the patient spent in hospice
during that month.
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**This report is is provided to MHPCA through a partnership with Arnall, Golden & Gregory, LLP (Jason Bring-Partner)**