Federal Register - November 8, 2021
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Source: Federal Register
62010
Federal Register / Vol. 86, No. 213 / Monday, November 8, 2021 / Rules and Regulations
TABLE 16: Estimated lm!act of QIP Pal.ment Reductions to ESRD Facilities for PY 2025
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:
Northeast 1,060
6.4
Midwest 1,716
7.9
South 3,506
20.1
West 1,374
8.5
61
0.4
US Territories2
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 Territories2
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
1Small 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.
lotter on DSK11XQN23PROD with RULES2
BILLING CODE 412001C
d. Effects on Other Providers The ESRD QIP is applicable to dialysis facilities. We are aware that several of our measures impact other providers. For example, with the introduction of the SRR clinical measure in PY 2017 and the SHR
clinical measure in PY 2020, we anticipate that hospitals may experience financial savings as dialysis facilities work to reduce the number of
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unplanned readmissions and hospitalizations. We are exploring various methods to assess the impact these measures have on hospitals and other facilities, such as through the impacts of the Hospital Readmissions Reduction Program and the HospitalAcquired Condition Reduction Program, and we intend to continue examining the interactions between our quality programs to the greatest extent feasible.
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e. Effects on the Medicare Program For PY 2025, we estimate that the ESRD QIP would contribute approximately $17,104,030.59 in Medicare savings. For comparison, Table 17 shows the payment reductions that we estimate will be applied by the ESRD QIP from PY 2018 through PY
2025. This includes our finalized PY
2022 scoring and payment proposals as described in section IV.D. of this final rule.
E:FRFM08NOR2.SGM
08NOR2
ER08NO21.016
Number of Facilities 7,717
Number of Treatments 2019 in millions 43.4
Number of Facilities Expected to Receive a Payment Reduction 1,788
