CMS increases hospice payments by 2.3%

Truman Slate

(Photograph by Luis Alvarez/Getty Illustrations or photos)

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

As proposed, hospices would see a two.three%, or $530 million increase in their payments for FY 2022. The proposed two.three% hospice payment update is centered on the approximated two.five% inpatient medical center current market basket minimized by the multifactor productiveness adjustment of .two%. 

Hospices that fail to meet quality reporting demands acquire a two percentage position reduction to the once-a-year current market basket update for FY 2022.

The hospice payment update features a statutory aggregate cap that limits the over-all payments for every affected person that is manufactured to a hospice each year. The proposed cap sum for 2022 is $31,389.66, which is the 2021 cap sum of $30,683.93 elevated by two.three%. 

This proposed rule also features a remark solicitation about hospice utilization and expending styles that will assistance tell possible foreseeable future plan improvement.

Community remarks on the proposal will be recognized till June seven.


The proposed rule impacts hospice company payment and reporting demands.

CMS also stated it is dedicated to addressing consistent and persistent inequities in wellness outcomes by increasing information assortment to evaluate and review disparities throughout plans and procedures that use to the hospice application.

The company is operating to make quality reporting plans additional clear to individuals and providers. That enables them to make greater decisions as properly as advertising company accountability around wellness fairness, CMS stated. 

In addition, CMS is advancing to electronic quality measurement and the use of Quick Healthcare Interoperability Methods in aid of the Hospice Good quality Reporting System. FHIR-centered benchmarks will permit the trade of scientific facts by means of application programming interfaces, permitting clinicians to digitally post quality facts at the time that can then be employed in numerous strategies.  


CMS is proposing a new evaluate identified as the Hospice Treatment Index. This one evaluate features ten indicators of quality that are calculated from promises information.

Collectively, the indicators depict diverse aspects of hospice care and aim to express a thorough characterization of the quality of care furnished by a hospice. If finalized, this evaluate would be publicly described no earlier than May possibly 2022.

In addition, this rule proposes to rebase the hospice labor shares for all 4 amounts of care working with 2018 Medicare expense stories information for freestanding hospice amenities. The proposed labor share for constant dwelling care is seventy four.six% for program dwelling care it is sixty for inpatient respite care it is and for standard inpatient care it is 62.8%. 

This rule also proposes quite a few clarifying regulation text variations on sure aspects of the hospice-election assertion addendum demands that were being finalized for hospice elections commencing on and after October one, 2020.

Additionally, this rule proposes variations to the problems of participation about hospice aide competency analysis benchmarks. These proposals would make permanent sure flexibilities allowed all through the public wellness unexpected emergency.

CMS is also proposing to incorporate Purchaser Evaluation of Healthcare Companies and Programs (CAHPS), Hospice Survey Star scores on Treatment Examine. Star scores advantage the public in that they can be less difficult for some to have an understanding of than complete-evaluate scores, and they make comparisons involving hospices additional simple, CMS stated.

Additionally, the rule proposes the addition of the promises-centered Hospice Visits in the Last Days of Lifetime evaluate for public reporting. 

The proposed rule also features a Property Well being Good quality Reporting System proposal to publicly display screen 3 quarters of sure consequence and evaluation facts set information due to the COVID-19 public wellness unexpected emergency exemptions of the 2020 initial and second quarter information. 

To meet the January 2022 public reporting refresh cycle for Property Well being Amenities, the company proposes working with 3 quarters instead than 4 quarters of information for the January 2022 refresh affecting OASIS‑based measures. For some promises-centered measures, CMS is also proposing to use 3 quarters instead than 4 quarters of information for refreshes involving January 2022 and July 2024. 

For Property Well being Treatment Purchaser Evaluation of Healthcare Companies and Programs (HHCAHPS), there are no variations. 
Twitter: @SusanJMorse
Electronic mail the author: [email protected]

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