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Medicare Program; FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements.

    Federal Register
    |August 7, 2018
    PubMed

    Insights

    This final rule updates hospice wage index, payment rates, and cap amounts for fiscal year 2019. Physician assistants are now recognized as hospice attending physicians, and quality reporting changes are included.

    Area of Science:

    • Healthcare Policy
    • Gerontology
    • Public Health

    Background:

    • The Centers for Medicare & Medicaid Services (CMS) annually updates regulations affecting hospice care.
    • Previous regulations outlined payment structures and quality metrics for hospice services.

    Purpose of the Study:

    • To communicate updates to the hospice wage index, payment rates, and cap amounts for fiscal year (FY) 2019.
    • To implement regulatory changes recognizing physician assistants as designated hospice attending physicians.
    • To detail modifications within the Hospice Quality Reporting Program.

    Main Methods:

    • Publication of a final rule by CMS.
    • Incorporation of updated economic factors into the hospice wage index.
    • Revision of regulations to include physician assistants in hospice care roles.

    Main Results:

    • Updated hospice wage index, payment rates, and cap amounts for FY 2019 are established.
    • Physician assistants are officially recognized as hospice attending physicians starting January 1, 2019.
    • Amendments to the Hospice Quality Reporting Program are enacted.

    Conclusions:

    • The final rule ensures updated financial parameters for hospice providers.
    • The inclusion of physician assistants broadens the scope of attending physician services in hospice care.
    • Changes to the Quality Reporting Program aim to enhance hospice care quality and transparency.

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