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HomeMedicare Dispatch → Shifting Hospice Reimbursement - Moving in the Direction of Aligning Payment with Resource Concentration

Shifting Hospice Reimbursement - Moving in the Direction of Aligning Payment with Resource Concentration Print E-mail
Written by MWE.com   
Friday, 11 September 2015 14:55

The Centers for Medicare and Medicaid Services (CMS) published its update to the home health prospective payment system for fiscal year 2016 in the August 6, 2015, Federal Register (the Final Rule). The Final Rule announces an overall 1.1 percent increase in hospice payments for FY 2016, but also makes significant changes to the structure of hospice payments for certain patients to reflect the higher costs borne by providers at different stages of the hospice benefit. These changes address some, but not all, of the challenges associated with applying a per diem rate to a benefit with highly variable costs over time, given the unique circumstances of each beneficiary's end-of of-life needs. Implementation of these new payment structures will have a financial and operational impact on hospice providers, with potential implications for referral patterns, billing systems, staffing models and clinical care guidelines. This significant change to one of the first bundled payment systems implemented by CMS may also set a precedent for service bundling in other areas of health care.

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Last Updated on Friday, 18 September 2015 16:47
 


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