The provisions that affect hospice providers are:
- Mandated surveys of Medicare certified hospice providers at least every three years for the next ten years at the minimum.
- Medical reviews for hospice programs with a soon to be determined percentage/number of patients receiving care for more than 180 days. The specific patient load that would trigger this medical review will be set by CMS.
- Hospice aggregate financial cap will be aligned with hospice reimbursement using a common inflationary index that will not change hospice reimbursement for providers.
“Under NHPCO’s leadership, the hospice community has been on the frontlines of advocating for increased transparency, program integrity, and accountability. We believe that the hospice provisions included in the IMPACT Act are critically important steps in this direction,” stressed Schumacher.