Core Based Statistical Areas and the Medicare Wage Index February 2004 Background This document discusses the potential impact of the new Office of Management and Budget (OMB) statistical area standards on the hospital wage index and Medicare payments to rural providers. In this case, the pension cost equals the hospital’s average cash contributions over a three-year period. This leaves hospitals in certain parts of the country, … Through the wage index, Medicare is able to maintain a consistent payment structure across IPPS hospitals while recognizing that … The Medicare Wage Index is one element that influences a hospital’s overall payment from the Medicare program. The Social Security Act says that these payments can be adjusted based on the hospital's wage level and geographic area. An official website of the United States government. This clarification may change the way some hospitals and health systems identify allocated pension cost. On April 23, 2019, CMS released a proposed rule to increase wage index values for hospitals with an MWI below the 25th percentile (which includes most Tennessee hospitals). We have member hospitals in both urban and rural areas, and we provide much-needed medical specialties in our communities, even when those specific services operate at a financial loss to our health system. These closings limit healthcare access and devastate local economies. To fairly balance the impact of the change and remain budget-neutral, the agency also would decrease the wage index for hospitals with values above the 75th percentile. On April 23, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released the Federal Fiscal Year (“FFY”) 2020 Medicare Inpatient Prospective Payment System (“IPPS”) proposed rule (“IPPS Proposed Rule”). CMS adjusts this rate annually using a wage index for the labor market area where a hospital is located. Before sharing sensitive information, make sure you’re on a federal government site. Our Medicare payment levels must improve so that healthcare will be available to our citizens and Tennessee will continue to have a vibrant economy and quality of life. Table 2- Case-Mix Index and Wage Index Table by CMS Certification Number (CCN); Table 3- Wage Index Table by CBSA. Rep. Terri Sewell (AL-07), who has worked for years to … This is only a proposed rule. In the spring of 2003, OMB released new statistical area standards based on county population from the 2000 census. Finally, after years of effort including discussions with legislators and government officials at local, state and national levels and the Centers for Medicare and Medicaid Services (CMS) administration, we have an opportunity to see progress in this area. FY 2021 Hospital Wage Index Development Time Table (PDF) FY 2021 Preliminary Wage Index PUF (ZIP) Contains the FY 2021 preliminary Worksheet S-3 wage data from FY 2017 cost reports and the Calendar Year 2016 occupational mix survey data. While not a permanent solution, this is a significant first step toward a more fair process to reward hospitals that work aggressively to control costs. The wage index development process starts in May with the posting of the preliminary worksheet S-3 PUF. To fulfill our mission of improving the quality of life in our region through better health, a fair rate of Medicare reimbursement is critically important to our health system. CMS recognizes that labor costs vary from one area to the next. I am very grateful to the Centers for Medicare and Medicaid Services for its willingness to implement the proposed new rule, CMS-1716-P, and for legislative support on many levels.
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