On Friday, April 19th, CMS released the FY 2020 Hospice Proposed Rule. The comment period closes June 18, 2019.
- CMS proposes an overall net increase of 2.7% or $540 million (3.2% market basket increase, offset by a 0.5% productivity reduction).
- The Rule also rebases (i.e., increases) the continuous home care (CHC), general inpatient care (GIP), and the inpatient respite care (IRC) per diem payment rates in a budget-neutral manner to more closely align Medicare payments with the costs of providing care; and subsequently decreases routine home care (RHC) payment by 2.71% to ensure overall budget neutrality.
- CMS proposes to modify the hospice election statement by content modifications and by requiring an addendum to “provide greater coverage transparency and safeguard patient rights.”
- The purpose of the proposed addendum, entitled “Patient Notification of Hospice Non-Covered Items, Services, and Drugs,” is two-fold:
- To inform beneficiaries and their representatives of conditions, items, services, and drugs that may not be covered under the hospice benefit to help hospice patients and their families make informed treatment decisions
- To facilitate communication and benefit coordination between hospices and non-hospice providers
For more information, read Casamba’s summary of the Proposed Rule.