More than 1.4 million Medicare beneficiaries were enrolled in hospice care for one day or more in 2016, while 1.04 Medicare beneficiaries died while in hospice care. According to industry experts, there are approximately 4,500 hospices in 2020.
Effective Jan. 1, 2021, CMS will test coverage of hospice in the value-based insurance design model, referred to as the Medicare Advantage hospice carve-in. The carve-in, according to CMS, is intended to increase access to hospice services and facilitate better coordination between patients’ hospice providers and their other clinicians.
The Medicare Advantage program has been growing in recent years. The number of participating beneficiaries tripled between 2019 and 2020, totaling nearly 1.2 million enrollees in 30 states, according to CMS.
Hospice drugs are paid under Medicare Part A. Drugs unrelated to the treatment of the terminal illness must be billed to Medicare Part D. For prescriptions covered under Part A, the pharmacy negotiates a fee since the hospice provider is paid a capitated rate for services provided.
Founded in 2012, DeliverCareRx is a national pharmacy licensed in all 50 states. DeliverCareRx works with the PBM to provide national home delivery services focused on patient care, nurse efficiency and improved financial performance for hospice administrators.
Recently, DeliverCareRx expanded its footprint with a new facility in southern New Jersey. The location will make pharmacy deliveries and provide other services throughout New Jersey, the Philadelphia metropolitan area and other regions in the Northeastern United States. The move is part of the company’s overall growth strategy to expand its services nationwide. DeliverCareRx also recently expanded to the West Coast with a de novo location in Livermore, Calif., serving the Bay Area.
Previously, DeliverCareRx opened its Tampa, Florida facility. The facility will provide hospice pharmacy services and home delivery to all of its Florida hospice customers, as well as those hospice customers in the Southeastern US. DeliverCareRx is exclusively partnered with Optum Hospice Pharmacy Services, the industry’s largest hospice pharmacy services provider, based out of Montgomery, AL.
Takeaway: DeliverCareRx expanding to enhance hospice pharmacy services and provide cost savings to its partner customers throughout the country