Abt Explores Hospice Payment Options, Utilization in Technical Report for CMS
Abt Associates, the Centers for Medicare & Medicaid Services’ (CMS) hospice payment contractor, has been conducting analysis of utilization and cost data to help inform discussions on ways to modify the current payment structure so that it better reflects actual costs incurred during a hospice length of stay.
Hospice payment reform was mandated by the Affordable Care Act (ACA) to occur no earlier than October 1, 2013. In a presentation at the National Association for Home Care & Hospice (NAHC) March on Washington earlier this year, an Abt representative discussed findings from their study related to:
- Trends in Hospice Cost Reports
- Trends in General Inpatient Utilization (GIP)
- Impact of the Face-to-Face Requirement on Hospice Benefit Periods
More recently, CMS posted online a copy of a hospice payment technical report, “Medicare Hospice Payment Reform: Hospice Study Technical Report,” that contains study findings for the topics listed above, as well as Part D utilization while enrolled in hospice and discussion of payment reform options; these topics are covered as part of this article.