CMS increases hospice payments by 2.3%

(Photo by Luis AlvarezGetty Images)(Photograph by Luis AlvarezGetty Photos)

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

As proposed, hospices would see a 2.3%, or $530 million raise in their payments for FY 2022. The proposed 2.3% hospice payment update is centered on the estimated 2.five% inpatient hospital industry basket decreased by the multifactor productiveness adjustment of .2%. 

Hospices that fail to fulfill excellent reporting prerequisites acquire a 2 percentage position reduction to the yearly industry basket update for FY 2022.
The hospice payment update consists of a statutory combination cap that boundaries the general payments for every affected person that is made to a hospice each year. The proposed cap sum for 2022 is $31,389.sixty six, which is the 2021 cap sum of $30,683.93 amplified by 2.3%. 

This proposed rule also consists of a comment solicitation concerning hospice utilization and expending patterns that will support tell possible long term coverage improvement.

Community comments on the proposal will be acknowledged right until June seven.

WHY THIS Matters

The proposed rule affects hospice company payment and reporting prerequisites.

CMS also reported it is fully commited to addressing regular and persistent inequities in health outcomes by improving knowledge collection to evaluate and analyze disparities across plans and policies that utilize to the hospice system.     

The agency is performing to make excellent reporting plans additional transparent to individuals and vendors, enabling them to make superior options as very well as marketing company accountability around health equity, CMS reported. 

In addition, CMS is advancing to digital excellent measurement and the use of Quick Health care Interoperability Sources in assistance of the Hospice High-quality Reporting Plan. FHIR-centered benchmarks will let the exchange of scientific details as a result of software programming interfaces, allowing for clinicians to digitally submit excellent details one time that can then be utilised in numerous ways.  


CMS is proposing a new evaluate referred to as the Hospice Care Index. This single evaluate consists of 10 indicators of excellent that are calculated from statements knowledge. Collectively, the indicators symbolize various features of hospice treatment and purpose to convey a complete characterization of the excellent of treatment furnished by a hospice. If finalized, this evaluate would be publicly noted no earlier than May 2022.

In addition, this rule proposes to rebase the hospice labor shares for all 4 levels of treatment making use of 2018 Medicare expense reports knowledge for freestanding hospice amenities. The proposed labor share for constant dwelling treatment is seventy four.six% for program dwelling treatment it is sixty for inpatient respite treatment it is sixty.1% and for typical inpatient treatment it is 62.eight%. 

This rule also proposes several clarifying regulation textual content variations on selected features of the hospice election statement addendum prerequisites that ended up finalized for hospice elections commencing on and immediately after October 1, 2020.
In addition, this rule proposes variations to the conditions of participation concerning hospice aide competency evaluation benchmarks. These proposals would make long term selected flexibilities allowed all through the community health emergency.
CMS is also proposing to incorporate Customer Assessment of Health care Companies and Programs (CAHPS), Hospice Study Star rankings on Care Review. Star rankings gain the community in that they can be less complicated for some to understand than complete evaluate scores, and they make comparisons between hospices additional straightforward, CMS reported.
In addition, the rule proposes the addition of the statements-centered Hospice Visits in the Final Times of Lifetime evaluate for community reporting. 

The proposed rule also consists of a Residence Overall health High-quality Reporting Plan proposal to publicly display three quarters of selected final result and evaluation details established knowledge because of to the COVID-19 community health emergency exemptions of the 2020 very first and 2nd quarter knowledge. 

To fulfill the January 2022 community reporting refresh cycle for Residence Overall health Facilities, the agency proposes making use of three quarters rather than 4 quarters of knowledge for the January 2022 refresh affecting OASIS‑based measures. For some statements-centered measures, CMS is also proposing to use three quarters rather than 4 quarters of knowledge for refreshes between January 2022 and July 2024. 

For Residence Overall health Care Customer Assessment of Health care Companies and Programs (HHCAHPS), there are no variations. 
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