The inpatient hospital deductible for calendar year (CY) 2017 will be $1,316, a $28 increase over the CY 2016 deductible, according to an advance release of the CY 2017 inpatient hospital deductible notice from CMS. The Medicare Part A deductible covers patients’ shares of costs for the first 60 days of inpatient hospital. In 2017, the daily coinsurance amount for the 61st through 90th days of hospitalization will increase by $7 to $329 and the daily coinsurance for lifetime reserve days will increase by $14 to $658. Skilled nursing facility (SNF) coinsurance rates will increase from $161 to $164.50.
The inpatient prospective payment system (IPPS) market basket percentage increase for 2017 is 2.7 percent and the multifactor productivity adjustment (MFP) is a reduction of 0.3 percent. The percentage increase of IPPS hospitals that submit quality data and are meaningful users of electronic health records (EHRs) is 1.65 percent, while the average percentage increase for IPPS-excluded hospitals is 2.0 percent.
CMS indicated, per custom, it will waive notice and comment rulemaking on the deductible notice because the formulae used to calculate the hospital deductible and hospital and extended care services coinsurance amounts are imposed by statute. Additionally, CMS noted, delaying publication would be contrary to the public interest. The notice is set to publish in the Federal Register on November 15, 2016.