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CMS increases hospice payments by 2.3%

(Image by Luis Alvarez/Getty Photographs)

The Facilities for Medicare and Medicaid Products and services has issued a proposed rule that updates hospice foundation payments and the mixture cap total for 2022.

As proposed, hospices would see a two.3%, or $530 million boost in their payments for FY 2022. The proposed two.3% hospice payment update is primarily based on the approximated two.five% inpatient hospital current market basket minimized by the multifactor productiveness adjustment of .two%. 

Hospices that are unsuccessful to fulfill high-quality reporting prerequisites acquire a two percentage level reduction to the yearly current market basket update for FY 2022.

The hospice payment update consists of a statutory mixture cap that limits the in general payments per individual that is made to a hospice per year. The proposed cap total for 2022 is $31,389.sixty six, which is the 2021 cap total of $30,683.ninety three greater by two.3%. 

This proposed rule also consists of a comment solicitation pertaining to hospice utilization and paying styles that will support inform possible foreseeable future plan development.

General public reviews on the proposal will be approved right until June 7.


The proposed rule influences hospice service provider payment and reporting prerequisites.

CMS also said it is dedicated to addressing regular and persistent inequities in health results by improving information assortment to measure and analyze disparities across plans and policies that utilize to the hospice program.

The agency is operating to make high-quality reporting plans far more transparent to shoppers and companies. That enables them to make superior selections as well as endorsing service provider accountability close to health fairness, CMS said. 

In addition, CMS is advancing to electronic high-quality measurement and the use of Rapidly Healthcare Interoperability Sources in support of the Hospice Quality Reporting Plan. FHIR-primarily based requirements will allow the trade of medical information by way of application programming interfaces, permitting clinicians to digitally submit high-quality information once that can then be applied in quite a few ways.  


CMS is proposing a new measure known as the Hospice Treatment Index. This solitary measure consists of ten indicators of high-quality that are calculated from statements information.

Collectively, the indicators represent distinct areas of hospice care and purpose to convey a detailed characterization of the high-quality of care furnished by a hospice. If finalized, this measure would be publicly described no previously than Could 2022.

In addition, this rule proposes to rebase the hospice labor shares for all four concentrations of care applying 2018 Medicare value reports information for freestanding hospice facilities. The proposed labor share for constant household care is 74.six% for regimen household care it is 64.7% for inpatient respite care it is sixty.one% and for common inpatient care it is sixty two.8%. 

This rule also proposes numerous clarifying regulation text improvements on selected areas of the hospice-election assertion addendum prerequisites that have been finalized for hospice elections commencing on and just after October one, 2020.

Also, this rule proposes improvements to the disorders of participation pertaining to hospice aide competency evaluation requirements. These proposals would make long term selected flexibilities permitted all through the public health emergency.

CMS is also proposing to insert Consumer Evaluation of Healthcare Providers and Techniques (CAHPS), Hospice Study Star rankings on Treatment Compare. Star rankings profit the public in that they can be less difficult for some to realize than complete-measure scores, and they make comparisons among hospices far more uncomplicated, CMS said.

Also, the rule proposes the addition of the statements-primarily based Hospice Visits in the Last Times of Everyday living measure for public reporting. 

The proposed rule also consists of a Residence Wellness Quality Reporting Plan proposal to publicly screen 3 quarters of selected outcome and assessment information established information because of to the COVID-19 public health emergency exemptions of the 2020 initial and 2nd quarter information. 

To fulfill the January 2022 public reporting refresh cycle for Residence Wellness Services, the agency proposes applying 3 quarters instead than four quarters of information for the January 2022 refresh influencing OASIS‑based measures. For some statements-primarily based measures, CMS is also proposing to use 3 quarters instead than four quarters of information for refreshes among January 2022 and July 2024. 

For Residence Wellness Treatment Consumer Evaluation of Healthcare Providers and Techniques (HHCAHPS), there are no improvements. 
Twitter: @SusanJMorse
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