NHPCO NewsLine Fall 2021 - 22

continued
TABLE 3: FINAL FY2022 HOSPICE PAYMENT RATES FOR HOSPICES THAT DO NOT SUBMIT THE REQUIRED
QUALITY DATA
Code
Description
651
651
652
655
656
Routine Home Care
(days 1-60)
Routine Home Care
(days 61+)
Continuous Home Care
Full rate = 24 hours of care
Inpatient
Respite Care
General
Inpatient Care
FY2021 Payment
Rates
$199.25
$157.49
$1,432.41
$461.09
$1,045.66
Wage Index
Standardization
Factor
X 1.001
X 1.0009
X 1.0004
X 1.0014
X1.0019
FINAL FY2022
Hospice Payment
Update of 2.0%
minus 2 percentage
points = +0.0%
X 1.000
X 1.00
X 1.00
X 1.00
X 1.00
FINAL FY 2022
Payment Rates
$199.41
$157.58
$1,433.84
($59.74per hr)
$464.46
$1,047.33
Percentage of Labor Component has changed: There is a slight adjustment in the labor component for each
level of care. Table 1, included below, provides details on the labor component percentages.
TABLE 1: FINAL, PROPOSED AND 2021 LABOR SHARES BY LEVEL OF CARE
Final FY 2022
Labor Share
66.0%
75.2%
61.0%
63.5%
Proposed FY 2022
Labor Share
Routine Home Care
Continuous Home Care
Inpatient Respite Care
General Inpatient Care
64.7%
64.7%
60.1%
62.8%
FY 2021 (Current Year)
Labor Share
68.71%
68.71%
54.13%
64.01%
The wage index values for
every county have been
adjusted from those
published in the proposed
rule. Please check carefully
to ensure that the final wage
index values are used.
CMS comments on using freestanding hospice cost reports to rebase and
revise the labor component of hospice rates: CMS responded to
stakeholder comments on using the Medicare Hospice Cost Report data
by saying: " Response: We believe that our proposal to revise the labor
shares based on MCR data for hospice providers is a technical
improvement to the current labor shares. We disagree with commenters
that the hospice MCR data does not provide adequate or appropriate
measure of labor expenses. " They also stated that the " proposal to use the
2018 MCR data recognizes that providers have had 4 years to familiarize
themselves with the form and, thereby, improve the accuracy of the data. "
Frequency of updating labor shares in the future: CMS states that they
tentatively plan to rebase the hospice labor shares on a schedule of every
4-5 years, similar to other Medicare provider types. However, in light of
the COVID-19 PHE, they plan to monitor the upcoming MCR data to see
if a more frequent revision to the hospice labor shares is necessary in
order to reflect the most recent cost structures of hospice providers.
22
Newsline / Fall 2021

NHPCO NewsLine Fall 2021

Table of Contents for the Digital Edition of NHPCO NewsLine Fall 2021

IDC 2021 (display ad)
Table of Contents
Signature Programs (display ad)
Edo's Message
Finding Your Value (feature article)
Payment Model Primer
LAC 2022 (display ad)
FY 2022 Hospice Wage Index
Updates to Hospice Quality Reporting Program
Care Vention (display ad)
NHPCO Launches Re-envisioned CaringInfo
Making POLST Portable
Career Center (display ad)
Advancing a Culture of Equity
NHPCO Quality Connections (display ad)
Hospices Earning Recognition
STAR Upgrades Complete
2021 Interdisciplinary Conference
Submit LAC22 Session Proposal
New LGBTQ+ Resource Guide
Ooma (display ad)
Updates We Honor Veterans
Caleb Tiller Joins NHPCO
back cover
NHPCO NewsLine Fall 2021 - Intro
NHPCO NewsLine Fall 2021 - 1
NHPCO NewsLine Fall 2021 - IDC 2021 (display ad)
NHPCO NewsLine Fall 2021 - Table of Contents
NHPCO NewsLine Fall 2021 - Signature Programs (display ad)
NHPCO NewsLine Fall 2021 - Edo's Message
NHPCO NewsLine Fall 2021 - Finding Your Value (feature article)
NHPCO NewsLine Fall 2021 - 7
NHPCO NewsLine Fall 2021 - 8
NHPCO NewsLine Fall 2021 - 9
NHPCO NewsLine Fall 2021 - 10
NHPCO NewsLine Fall 2021 - 11
NHPCO NewsLine Fall 2021 - 12
NHPCO NewsLine Fall 2021 - 13
NHPCO NewsLine Fall 2021 - 14
NHPCO NewsLine Fall 2021 - 15
NHPCO NewsLine Fall 2021 - Payment Model Primer
NHPCO NewsLine Fall 2021 - 17
NHPCO NewsLine Fall 2021 - 18
NHPCO NewsLine Fall 2021 - LAC 2022 (display ad)
NHPCO NewsLine Fall 2021 - FY 2022 Hospice Wage Index
NHPCO NewsLine Fall 2021 - 21
NHPCO NewsLine Fall 2021 - 22
NHPCO NewsLine Fall 2021 - 23
NHPCO NewsLine Fall 2021 - 24
NHPCO NewsLine Fall 2021 - Updates to Hospice Quality Reporting Program
NHPCO NewsLine Fall 2021 - 26
NHPCO NewsLine Fall 2021 - 27
NHPCO NewsLine Fall 2021 - 28
NHPCO NewsLine Fall 2021 - Care Vention (display ad)
NHPCO NewsLine Fall 2021 - NHPCO Launches Re-envisioned CaringInfo
NHPCO NewsLine Fall 2021 - 31
NHPCO NewsLine Fall 2021 - Making POLST Portable
NHPCO NewsLine Fall 2021 - 33
NHPCO NewsLine Fall 2021 - 34
NHPCO NewsLine Fall 2021 - 35
NHPCO NewsLine Fall 2021 - 36
NHPCO NewsLine Fall 2021 - Career Center (display ad)
NHPCO NewsLine Fall 2021 - Advancing a Culture of Equity
NHPCO NewsLine Fall 2021 - 39
NHPCO NewsLine Fall 2021 - 40
NHPCO NewsLine Fall 2021 - NHPCO Quality Connections (display ad)
NHPCO NewsLine Fall 2021 - Hospices Earning Recognition
NHPCO NewsLine Fall 2021 - 43
NHPCO NewsLine Fall 2021 - STAR Upgrades Complete
NHPCO NewsLine Fall 2021 - 2021 Interdisciplinary Conference
NHPCO NewsLine Fall 2021 - Submit LAC22 Session Proposal
NHPCO NewsLine Fall 2021 - Ooma (display ad)
NHPCO NewsLine Fall 2021 - Updates We Honor Veterans
NHPCO NewsLine Fall 2021 - Caleb Tiller Joins NHPCO
NHPCO NewsLine Fall 2021 - back cover
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