The $340 million payment increase is based on an estimated 2.9% inpatient hospital market basket update, reduced by a 0.8% multifactor productivity adjustment and a 0.3% adjustment due to the Affordable Care Act.
For days 61 and beyond, payments would be $154.21 in 2019, compared to $151.41 in 2018.
Rural hospices in New England would experience the largest payment increase (3.3%) as a result of the rule, while rural hospices in the Mountain area only would experience a 1.4% payment increase.
- CMS seeks feedback on solutions involving data sharing. The federal Medicare agency is releasing a Request for Information (RFI) “to obtain feedback on positive solutions to better achieve interoperability or the sharing of health care data between providers,” a CMS fact sheet about the rule states. “Specifically, CMS is requesting stakeholder feedback through a RFI on the possibility of revising Conditions of Participation related to interoperability as a way to increase electronic sharing of data by providers.”
- Text changes due to Bipartisan Budget Act of 2018. Effective Jan. 1, 2019, physician assistants would be recognized as attending physicians for hospice beneficiaries.
- New review and correction timeframes for data using the Hospice Item Set (HIS). To ensure data reported on Hospice Compare are accurate and to align with other post-acute quality reporting programs, CMS is seeking for hospices to have 4½ months after the end of each quarter to review and correct HIS data that will be reported publicly. This change would go into effect in 2019.
- Public reporting of two quality measures. CMS is seeking to publicly report on the Hospice Compare website the HIS-based Hospice Comprehensive Assessment Measure (NQF #3235) and Hospice Visits when Death is Imminent Measure Pair. The 2017 hospice payment final rule created those quality measures.