How Will the Shift to Value-Based Care Impact Hospice Access and Quality?

Recorded On: 03/27/2024

CMS has a stated goal of having 100% of Medicare beneficiaries in accountable care by 2030. CMS is also likely to “carve” hospice into Medicare Advantage during that timeframe. These two shifts will require hospice agencies to rethink everything from their care models to their contracting strategies. Join Bob Tavares for an engaging discussion during which he will share valuable data and recommendations on how to prepare for a future dominated by value-based care.

Value-Based Care includes ACOs which increasingly have downside risk and already have hospice carved-in. 

The termination of VBID does not mean that the carve-in is dead. To the contrary, the announcement had the key phrase highlighted in bold below:

The Center for Medicare and Medicaid Innovation’s decision to discontinue the Hospice Benefit Component does not indicate whether the test has met its goals. CMS will continue its evaluations of the Hospice Benefit Component to assess this separately. Despite encountering operational challenges and limited participation, this voluntary test has played a significant role in transforming the delivery of serious illness care in the MA program through meaningful partnerships between MAOs and hospice providers. CMS has also gained valuable insights into creating a seamless care continuum in the MA program for Part A and Part B services, inclusive of the Medicare hospice benefit. The lessons learned from the Hospice Benefit Component continue to inform collective efforts for meeting the needs of individuals with serious illnesses.

Course objectives:

  • Explain the overall impact of value-based care with regard to hospice in the continuum of care
  • Determine how how hospice operations impact total cost of care
  • Summarize how Medicare Advantage plans contract for hospice & palliative care

Bob Tavares

Chief Commercial Officer


As the Chief Commercial Officer for HealthPivots, Bob oversees product and client management, guided by his passion for analyzing Medicare claims data to improve quality and financial performance. 

Prior to HealthPivots, Bob was the Chief Strategy Officer at Cyft, an artificial intelligence platform focused on improving care for seniors with advanced illness. Bob also led the digital health strategy at UnitedHealthcare and held senior roles at Emmi (patient engagement platform acquired by Wolters Kluwer) and HealthShare (data analytics provider acquired by WebMD). 

During his career, Bob has helped over 100 health plans and Accountable Care Organizations implement technology enabled population heath programs. 

Bob received a BS in Marketing from the University of Connecticut and lives in the Boston area with his wife and two daughters.

No disclosures

None of the planners and presenters for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. 

Weatherbee Resources / Relias, LLC will be transparent in disclosing if any sponsorship or joint providership is present prior to the learner completing the course 

FOR THOSE SEEKING CONTINUING EDUCATION CREDIT:  Criteria for Judging Successful Completion - Participants will only receive CE credit if they sign in and remain present for the entire educational event. Partial credit will not be given 

Once the conference is over, the participant will be required to complete an online evaluation. Once the participant completes the evaluation, a certificate will be available for the participant to print/download/save

TARGET AUDIENCE: The target audience for this course is: Executive Directors, Hospice Medical Directors and Team Physicians, Clinical Managers, Corporate Compliance Officers, QAPI Coordinators, the Interdisciplinary Group, and others

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