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CMS increases hospice payments by 2.3%

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

As proposed, hospices would see a two.three%, or $530 million boost in their payments for FY 2022. The proposed two.three% hospice payment update is primarily based on the estimated two.5% inpatient clinic industry basket diminished by the multifactor productiveness adjustment of .two%. 

Hospices that are unsuccessful to satisfy excellent reporting specifications obtain a two percentage position reduction to the yearly industry basket update for FY 2022.

The hospice payment update contains a statutory combination cap that limits the all round payments for every affected individual that is produced to a hospice each year. The proposed cap sum for 2022 is $31,389.66, which is the 2021 cap sum of $thirty,683.ninety three amplified by two.three%. 

This proposed rule also contains a comment solicitation about hospice utilization and expending patterns that will help inform prospective long term coverage advancement.

Community comments on the proposal will be approved until finally June 7.


The proposed rule impacts hospice provider payment and reporting specifications.

CMS also explained it is dedicated to addressing regular and persistent inequities in health and fitness results by improving info assortment to measure and assess disparities throughout courses and insurance policies that utilize to the hospice plan.

The agency is doing work to make excellent reporting courses much more transparent to buyers and companies. That enables them to make greater selections as effectively as endorsing provider accountability all-around health and fitness equity, CMS explained. 

In addition, CMS is advancing to electronic excellent measurement and the use of Quickly Health care Interoperability Means in assist of the Hospice High quality Reporting System. FHIR-primarily based expectations will make it possible for the trade of scientific information and facts by way of application programming interfaces, permitting clinicians to digitally submit excellent information and facts once that can then be utilised in lots of approaches.  


CMS is proposing a new measure named the Hospice Treatment Index. This solitary measure contains ten indicators of excellent that are calculated from promises info.

Collectively, the indicators characterize distinctive aspects of hospice care and purpose to convey a detailed characterization of the excellent of care furnished by a hospice. If finalized, this measure would be publicly documented no earlier than May well 2022.

In addition, this rule proposes to rebase the hospice labor shares for all four levels of care employing 2018 Medicare value experiences info for freestanding hospice facilities. The proposed labor share for ongoing residence care is seventy four.six% for program residence care it is sixty four.7% for inpatient respite care it is 60.1% and for typical inpatient care it is 62.eight%. 

This rule also proposes numerous clarifying regulation text alterations on selected aspects of the hospice-election assertion addendum specifications that were being finalized for hospice elections starting on and following Oct 1, 2020.

Furthermore, this rule proposes alterations to the problems of participation about hospice aide competency evaluation expectations. These proposals would make permanent selected flexibilities allowed through the public health and fitness emergency.

CMS is also proposing to include Purchaser Evaluation of Health care Vendors and Programs (CAHPS), Hospice Study Star scores on Treatment Assess. Star scores reward the public in that they can be less difficult for some to comprehend than complete-measure scores, and they make comparisons between hospices much more easy, CMS explained.

Furthermore, the rule proposes the addition of the promises-primarily based Hospice Visits in the Previous Days of Life measure for public reporting. 

The proposed rule also contains a Household Wellbeing High quality Reporting System proposal to publicly screen a few quarters of selected consequence and evaluation information and facts set info owing to the COVID-19 public health and fitness emergency exemptions of the 2020 1st and second quarter info. 

To satisfy the January 2022 public reporting refresh cycle for Household Wellbeing Facilities, the agency proposes employing a few quarters somewhat than four quarters of info for the January 2022 refresh affecting OASIS‑based steps. For some promises-primarily based steps, CMS is also proposing to use a few quarters somewhat than four quarters of info for refreshes between January 2022 and July 2024. 

For Household Wellbeing Treatment Purchaser Evaluation of Health care Vendors and Programs (HHCAHPS), there are no alterations. 
Twitter: @SusanJMorse
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