CHA News Article

CHA Issues Summary of Hospice Proposed Rule

CHA has issued a summary, prepared by Health Policy Alternatives, Inc., of the Center for Medicare & Medicaid Services (CMS) federal fiscal year (FFY) 2016 hospice proposed rule. The proposed rule, available in the May 5 Federal Register, describes updates to the Medicare hospice payment rates and wage index. CMS estimates the proposed rule’s overall impact will be an increase of $200 million (1.3 percent) in Medicare payments to hospices during FFY 2016. The proposed rule intends to differentiate payments for routine home care based on a beneficiary’s length of stay and to implement a service intensity add-on payment for services provided in the final seven days of a beneficiary’s life, if certain criteria are met. The rule also proposes changes to the hospice quality reporting program and includes clarification on diagnosis reporting on the hospice claim. Comments on the proposed rule are due by June 29.