Value-Based Care
Value-based care is reshaping how Medicare pays for care and how referral partners think about hospice. This section explains the payment models moving the healthcare system away from fee-for-service, including ACOs, Medicare Advantage and delegated risk arrangements. Understanding how these models work helps liaisons speak the financial language of their partners and position hospice as a driver of better outcomes and lower total cost.
These are advanced topics for a well-established liaison or growth leader to explore. The other skills in the lab will help shape your day-to-day activitites; this section is about staying ahead of sophisticated competition in the years to come.
Value-Based Care vs. Fee-For-Service
How value-based payment differs from fee-for-service and why that shift changes the way referral partners think about hospice.
Understanding Accountable Care Organizations
How ACOs work, and where hospice fits into the money they are trying to save.
Delegated Risk Providers (MCOs)
The physician groups or IPAs managing risk for Medicare Advantage plans and what that means for hospice.
Medicare Advantage Carve-Out
How MA works, what the hospice carve-out means operationally and why rising MA enrollment reshapes the referral landscape.
How Hospice Saves VBC Money
The specific cost levers through which hospice lowers total Medicare spending, with the evidence you can cite in a value-based care conversation.