Hospice HOPE Tool, CAHPS Revisions: Where CMS is Going Next on Quality

Posted May 3, 2023

The proposed rule for the Medicare hospice program indicates where CMS is heading when it comes to quality measurement requirements.

The proposal did not introduce any new measures or rules, it did offer clues to changes that could show up later this year or next, including health equity-associated measures and the forthcoming Hospice Outcomes and Patient Evaluation Tool, as well as Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys.

Essentially, CMS is codifying these requirements and penalties, according to Katie Wehri, director of home health & hospice regulatory affairs, for the National Association for Home Care & Hospice (NAHC).

“If your hospice did not meet the Hospice Item Set and the CAHPS hospice survey requirements last year, your organization is subjected to a 4% annual payment update penalty beginning in Fiscal Year 2024, which begins on October 1 of 2023,” Wehri said in a NAHC webinar. “So what CMS is proposing to do with hospice this year is to codify the requirements for those reporting thresholds, as well as codifying the annual payment update penalty.”

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