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Hospice Payment Update

Thursday, August 3, 2017   (0 Comments)
Posted by: Jenelle Lauchman
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Hospices will generally see a 1.0 percent increase in their payments for FY 2018.   

The hospice payment system includes a statutory aggregate cap.  The aggregate cap limits the overall payments made to a hospice annually.  As mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 (Pub. L. 113-185) (IMPACT Act), the cap amount for accounting years that end after September 30, 2016, and before October 1, 2025, must be updated by the hospice payment update percentage, rather than the Consumer Price Index (CPI).  Therefore, the cap amount for FY 2018 will be $28,689.04 (2017 cap amount of $28,404.99 increased by 1 percent). 

Hospice Quality Reporting Program

The rule finalizes eight measures from CAHPS Hospice Survey data already submitted by hospices.  Further, the rule finalizes the extension or exception for quality reporting purposes from 30 calendar days to 90 calendar days after the date that an extraordinary circumstance occurred.  The rule describes plans to publically display quality measure data via Hospice Compare in August 2017.  Additionally, this rule outlines policies and procedures associated with the public reporting of the quality measures used in the hospice program.  The final rule also discusses the public comments received on two claim-based measures under consideration and the Hospice Evaluation & Assessment Reporting Tool (HEART), a patient assessment tool.

CMS will begin public reporting hospice quality reporting program (HQRP) data via a Hospice Compare Site in August 2017 to help customers make informed choices.  While HQRP includes both the Hospice Item Set (HIS) and Hospice CAHPS® Survey data, this new website will initially display only HIS data.  The public display of the Hospice CAHPS® Survey data will be added in winter 2018.  In this final rule, CMS has also finalized policies and procedures associated with the public reporting of the quality measures used in the Hospice Program, including release of the aggregate quality data file and the Provider Preview Reports.

The final rule went on display on August 1 at the Federal Register’s Public Inspection Desk and will be available under “Special Filings,” at

For further information, see

For a fact sheet on the FY 2018 Hospice Update (CMS-1675-F), please visit:

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