MEDPAC Votes to Slash Hospice Aggregate Payment Cap

Posted on Monday, January 18, 2021

The Medicare Payment Advisory Commission (MEDPAC) unanimously voted to eliminate the update to the Fiscal Year 2021 Medicare base payment rates for hospice for Fiscal Year 2022 and to cut by 20% the hospice aggregate cap.

The payment cap is the limit that a hospice can collect from Medicare in any fiscal year, if exceeded, the hospice must return the money to CMS. For Fiscal Year 2021, the hospice cap is $30, 684 per patient.

“This recommendation would bring aggregate payments closer to costs, would lead to savings for taxpayers, and would be consistent with the commission’s principle that it is incumbent on Medicare to maintain financial pressure on providers to constrain costs, “MEDPAC indicated in its March 2020 report in which it proposed the cut.

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