Federal Register - August 4, 2021
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Source: Federal Register
42602
Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Rules and Regulations
labor share standardization factor.
However, there are distributional effects of the FY 2022 hospice wage index. The fifth column shows the effect of the hospice payment update percentage as mandated by section 1814i1C of the Act, and is consistent for all providers.
The 2.0 hospice payment update percentage is based on the 2.7 percent inpatient hospital market basket update, reduced by a 0.7 percentage point productivity adjustment. The sixth column shows the effect of all the
proposed changes on FY 2022 hospice payments. It is projected that aggregate payments would increase by 2.0
percent; assuming hospices do not change their billing practices. As illustrated in Table 25, the combined effects of all the proposals vary by specific types of providers and by location.
In addition, we are providing a provider-specific impact analysis file, which is available on our website at https www.cms.gov/Medicare/
Medicare-Fee-for-Service-Payment/
Hospice/Hospice-Regulations-andNotices.html. We note that simulated payments are based on utilization in FY
2020 as seen on Medicare hospice claims accessed from the CCW in May 2021 and only include payments related to the level of care and do not include payments related to the service intensity add-on.
As illustrated in Table 25, the combined effects of all the proposals vary by specific types of providers and by location.
4,995
0.0%
0.0%
2.0%
Freestanding/Non-Profit
597
0.0%
0.0%
2.0%
2.0%
Freestanding/For-Profit
3,273
0.0%
0.0%
2.0%
2.0%
39
0.2%
0.0%
2.0%
2.2%
Freestanding/Other
370
-0.3%
0.0%
2.0%
1.7%
Facility/HHA Based/Non-Profit
361
0.0%
0.0%
2.0%
2.0%
Facility/HHA Based/For-Profit
189
0.1%
0.1%
2.0%
2.2%
Facility/HHA Based/Government
88
0.0%
0.4%
2.0%
2.4%
Facility/HHA Based/Other
78
0.4%
-0.1%
2.0%
2.3%
Subtotal: Freestanding Facility Type Subtotal: Facility/HHA Based Facility T e Subtotal: Non-Profit
4,279
0.0%
0.0%
2.0%
2.0%
716
0.1%
0.0%
2.0%
2.1%
958
0.0%
0.0%
2.0%
2.0%
Subtotal: For Profit
3,462
0.0%
0.0%
2.0%
2.0%
Subtotal: Government
127
0.1%
0.1%
2.0%
2.2%
Subtotal: Other
448
-0.2%
0.0%
2.0%
1.8%
Freestanding/Non-Profit
138
-0.1%
0.3%
2.0%
2.2%
Freestanding/For-Profit
355
-0.2%
0.4%
2.0%
2.2%
Freestanding/Government
19
0.2%
0.3%
2.0%
2.5%
Freestanding/Other
48
-0.4%
0.5%
2.0%
2.1%
Facility/HHA Based/Non-Profit
146
-0.3%
0.3%
2.0%
2.0%
Facility/HHA Based/For-Profit
44
0.3%
0.4%
2.0%
2.7%
Facility/HHA Based/Government
66
-0.1%
0.3%
2.0%
2.2%
Facility/HHA Based/Other
45
0.3%
0.3%
2.0%
2.6%
Hospice Subgroup
Hospices
All Hospices
Freestanding/Government
lotter on DSK11XQN23PROD with RULES4
FY2022
Hospice Payment Update %
Overall Total Impact forFY
2022
2.0%
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20:53 Aug 03, 2021
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Frm 00076
Fmt 4701
FY2022
Updated Wage Data
Sfmt 4725
FY2022
Labor Share
E:FRFM04AUR4.SGM
04AUR4
ER04AU21.166
TABLE 25: Impact to Hospices for FY 2022
