Inpatient hospital and SNF deductible increases slightly for 2016

The annual inpatient deductible for calendar year (CY) 2016 will be $1,288, a $28 increase from the $1,260 CY 2015 deductible, according to an advance release of the CY 2016 inpatient hospital deductible notice from CMS. The Medicare Part A deductible covers patients’ shares of costs for the first 60 days of inpatient hospital care in a benefit period. The daily coinsurance amount for the 61st through 90th days of hospitalization will increase by seven dollars to $322 and the daily coinsurance for lifetime reserve days will increase by $14 to $644. Skilled nursing facility (SNF) coinsurance rates will increase by less than $4 to $161.00.

Percentage increase

The inpatient prospective payment system (IPPS) market basket percentage increase for 2016 is 2.4 percent and the multifactor productivity adjustment (MFP) is 0.5 percent. The percentage increase of IPPS hospitals that are meaningful users of electronic health records (EHRs) and submit quality data is 1.7 percent, while the average percentage increase for IPPS-excluded hospitals is 1.82 percent.

No comments requested

Per custom, CMS will waive notice and comment rulemaking in this matter, as the formulae used to calculate the hospital deductible and hospital and extended care services coinsurance amounts are imposed by statute. Furthermore, delaying publication would be contrary to the public interest. The notice will publish in the Federal Register on November 16, 2015.