Services that will be offered in Hospice Care include but are not limited to:
*The participating PCP will continue to collect the co-pay (typically 20%) and forego the 80% of FFS reimbursement from Medicare in exchange for the monthly capitation payment. If the patient has a supplement plan in addition to Medicare, you will continue to collect that reimbursement as well.
To help drive shared savings, participating PCPs have access to ACHs network of specialists, hospitals, labs, imaging centers, and other service providers that have agreed to accept a discount from Medicare Fee-for-Service rates.
which allows physicians to be excluded from MIPS reporting requirements and are eligible for a 5% lump-sum annual bonus to Medicare Part B payments, provided all other program requirements are met.
Things to be aware of:
*DCE builds on the ACO model by adding innovations from Medicare Advantage capitated risk-sharing arrangements to better align Medicare beneficiaries and empower PCPs.
*Next Generation ACOs will be phased out after the 2021 performance year.
*Voluntary alignment takes precedence over claims-based alignment across all MSSPs.