OIG Updates Work Plan to Include Review of Hospice Inpatient and Aggregate Cap Calculations

On October 4, 2019, the Medicare Payment Advisory Commission (MedPAC) began discussions around potential reform of the hospice Aggregate Cap (Cap). MedPAC is considering a recommendation under which the Aggregate Cap would be wage adjusted for the first time in history but may also consider a reduction in the Aggregate Cap amount: at the October…

MedPAC Contemplates Reform of Hospice Aggregate Cap

The statute authorizing the Medicare Hospice Benefit created two caps on payments designed to control overall spending and increase the likelihood of savings through the use of hospice over curative care at the end of life. One cap – the Inpatient Cap – limits the overall annual percent of inpatient care days that a hospice…