Federal Register - November 8, 2021
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Source: Federal Register
62008
Federal Register / Vol. 86, No. 213 / Monday, November 8, 2021 / Rules and Regulations
TABLE 13: Estimated lm!act of QIP Pal.ment Reductions to ESRD Facilities for PY 2024
Number of Facilities with QIP
Score 7,345
Payment Reduction percent change in total ESRD
payments -0.16%
7,007
338
1,685
103
-0.15%
-0.25%
5,703
845
457
338
2
1,207
250
228
103
0
-0.12%
-0.20%
-0.39%
-0.25%
-0.00%
6,548
795
2
1,457
331
0
-0.13%
-0.33%
-0.00%
1,234
6,111
203
1,585
-0.09%
-0.17%
993
1,654
3,356
1,283
59
256
426
906
166
34
-0.16%
-0.17%
-0.17%
-0.08%
-0.39%
8
1,163
591
801
404
192
879
1,700
491
1,065
51
4
351
134
224
52
32
114
493
75
279
30
-0.37%
-0.21 %
-0.13%
-0.17%
-0.08%
-0.10%
-0.08%
-0.19%
-0.10%
-0.17%
-0.40%
1,059
2,901
3,383
2
201
605
981
1
-0.15%
-0.13%
-0.17%
-0.25%
All Facilities Facility Type:
Freestanding 41.7
7,339
Hospital-based 378
1.7
Ownership Type:
Large Dialysis 5,886
33.6
Regional Chain 887
5.3
Independent 515
2.8
Hospital-based non-chain 378
1.7
Unknown 51
0.0
Facility Size:
Large Entities 6,773
38.9
Small Entities 1
893
4.5
Unknown 51
0.0
Rural Status:
1 Yes 1,268
6.3
2No 6,449
37.1
Census Region:
1,060
6.4
Northeast Midwest 1,716
7.9
South 3,506
20.1
West 1,374
8.5
61
0.4
US Territories 2
Census Division:
Unknown 9
0.1
East North Central 1,213
5.6
East South Central 3.2
609
Middle Atlantic 859
5.1
Mountain 428
2.3
New England 201
1.3
Pacific 946
6.2
South Atlantic 1,794
10.4
West North Central 503
2.3
West South Central 1,103
6.5
US Territories 2
52
0.3
Facility Size of total treatments Less than 4,000 treatments 1,248
2.4
4,000-9,999 treatments 2,905
11.9
Over 10,000 treatments 3,384
28.9
Unknown 180
0.2
Small Entities include hospital-based and satellite facilities, and non-chain facilities based on DFC self-reported status.
2Includes American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and Virgin Islands.
BILLING CODE 412001C
c. Effects of the PY 2025 ESRD QIP on ESRD Facilities
lotter on DSK11XQN23PROD with RULES2
For the PY 2025 ESRD QIP, we estimate that, of the 7,717 dialysis facilities including those not receiving
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a TPS enrolled in Medicare, approximately 24.3 percent or 1,788 of the facilities that have sufficient data to calculate a TPS would receive a payment reduction for PY 2025. The total payment reductions for all the 1,788 facilities expected to receive a
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payment reduction is approximately $17,104,030.59. Facilities that do not receive a TPS do not receive a payment reduction. Table 14 shows the overall estimated distribution of payment reductions resulting from the PY 2025
ESRD QIP.
E:FRFM08NOR2.SGM
08NOR2
ER08NO21.013
Number of Facilities 7,717
Number of Treatments 2019 in millions 43.4
Number of Facilities Expected to Receive a Payment Reduction 1,788
