2018 final RULES HOSPICE

An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg

CMS Finalizes FY 2018 Hospice Wage Index, Payment Rate and Quality Reporting Requirements.

The Centers for Medicare and Medicaid Services (CMS) have issued a final rule that will update hospice payment rates, wage index values, and quality reporting items for fiscal year (FY) 2018.

The 195-page document is scheduled for publication in the Federal Register on August 4th. A copy is currently available at: https://s3.amazonaws.com/public-inspection.federalregister.gov/2017- 16294.pdf. This link will change upon publication. On August 4th, the link should be: https://www.federalregister.gov/d/2017-16294.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) sets the market basket percentage increase at 1.0 percent for hospices in FY 2018 that submit quality. CMS says the overall economic impact of this final rule is estimated to be $180 million in increased payments to hospices during FY 2018.

Hospices that fail to provide mandated quality care measures will incur a 2.0 decrease in their updates.

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