2016 IMPACT Act Hospice Medicare Payments

Insight From An Experienced Texas Health Care Attorney

On August 6, 2015, The Centers for Medicare & Medicaid Services (CMS) published a final rule in the Federal Register dictating how hospices would be paid by these programs in 2016 and beyond. Along with new regulations and program features, Medicare hospices in general are predicted to be paid $160 million more the 2016 fiscal year — a 1.1 percent increase from what they are scheduled to receive in 2015.

As with any change in Medicare and Medicaid policy, health care providers must be vigilant for their own compliance. At The Law Offices of Alejandro Mora, PLLC, our diligent and knowledgeable Texas health care law attorney has been helping medical service providers ensure their complete and thorough cooperation with Medicare. Not only does he make sure that these clients are aware of and acting on every possible advantage provided by these programs, but also how best to use the resources available to them to better serve their patients.

Discover the difference our firm can make for your Medicare program concerns. Contact our firm today at 512-937-1128.

Medicare Payment Changes In 2016

Changes for Medicare hospice payments announced in August 2015 are there primarily to adhere to the IMPACT Act of 2014. According their final rule, the CMS stated that the Act "mandates that the hospice aggregate cap be updated by the hospice payment update percentage, rather than using the CPI-U, for a specified time."

Changes to hospice payments effective January 1, 2015, include:

  • A new hospice aggregate cap to transition to 2017 IMPACT requirements
  • A new higher base rate for routine home care (RHC) for first 60 days
  • A new lower base rate for RHC for 61 or more days of hospice care
  • A new Service Intensity Add-On (SIA) payments for intensified hospice services for Medicare beneficiaries in the last seven days of life

Ideally, this final rule will allow hospice care providers to better treat the Medicare patients and families who rely on them in 2016 and beyond. It will be, however, crucial for these providers to adhere to new policies and comply with reporting regulations if they want to stay in good standing with the Medicare program.

Call 512-937-1128 or contact us by email for more information about the IMPACT Act.