CMS Releases Hospice Payment Rate Update Proposed Rule
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WASHINGTON—On March 28, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1810-P) that would update Medicare hospice payments and the aggregate cap amount for fiscal year (FY) 2025 in accordance with existing statutory and regulatory requirements.
This rule also proposes to adopt the most recent Office of Management and Budget (OMB) statistical area delineations, which would change the hospice wage index, and proposes to clarify current policy related to the hospice “election statement” and the “notice of election” (NOE), as well as adding clarifying language regarding hospice certification. Finally, this rule contains a request for information to solicit comments regarding implementing a separate payment mechanism to account for high-intensity palliative care services.
This rule also proposes that Hospice Quality Reporting Program (HQRP) measures be collected through a new collection instrument, the Hospice Outcomes and Patient Evaluation (HOPE); proposes two HOPE-based measures and lays out the planned trajectory for further development of this instrument; requests information regarding potential social determinants of health (SDOH) elements and provides updates on Health Equity, future quality measures (QMs), and public reporting requirements. Finally, this rule also proposes changes to the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey.
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