Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
TABLE 51: Impact of CY 2009 Changes in Payments to
Hospital-Based and Independent ESRD Facilities
[Percent change in composite rate payments to ESRD facilities (both
program and beneficiaries)]
1058
1 2 3 4 5 6 7
Number
Of
facilities
Number of
Dialysis
Treatments
(in
millions)
Effect of
Changes
in Wage
Index 1 /
Effect of
of the
MIPPA
provisions
only 2 /
Overall
effect
without
drug
add-on 3 /
By Region
New England 154 1.2 1.2 0.5 1.8 1.5
Middle Atlantic 566 4.6 0.1 0.2 0.3 0.0
East North Central 768 5.8 -1.0 0.6 -0.4 -0.7
West North Central 372 2.0 0.0 0.3 0.3 0.0
South Atlantic 1104 8.3 -0.1 0.8 0.8 0.5
East South Central 379 2.7 -1.0 0.9 0.0 -0.3
West South Central 667 5.2 -0.5 0.9 0.3 0.1
Mountain 259 1.6 0.0 0.7 0.7 0.5
Pacific 555 4.6 2.2 0.8 3.0 2.7
Puerto Rico & Virgin Islands 34 0.4 -4.6 0.8 -3.8 -4.1
1/This column shows the overall effect of wage index changes on ESRD providers. Composite rate
payments computed using the current wage index are compared to composite rate payments using the
CY 2009 wage index changes. This column does not include the drug add-on to the composite rate.
2/This column shows the effect of the MIPPA provisions which include a 1 percent increase to composite
rate and elimination of separate composite rate for hospital-based ESRD providers. These provisions are
effective January 1, 2009. This column does not include the drug add-on to the composite rate.
3/This column shows the percent change between CY 2009 and CY 2008 composite rate payments to
ESRD facilities. This column does not include the drug add-on to the composite rate.
Overall
effect
including
drug
add-on 4 /
All Providers 4,858 36.4 0.0 0.7 0.7 0.4
Independent 4,303 32.8 0.0 1.0 1.0 0.7
Hospital Based 555 3.7 0.2 -2.1 -1.9 -2.1
By Facility Size
Less than 5000 treatments 1,732 5.0 -0.1 0.6 0.5 0.2
5000 to 9999 treatments 1,915 13.9 0.0 0.8 0.8 0.5
Greater than 9999 treatments 1,211 17.6 0.0 0.6 0.6 0.4
Type of Ownership
Profit 3,932 29.8 0.0 1.0 0.9 0.7
Nonprofit 926 6.6 0.2 -0.7 -0.5 -0.7
By Geographic Location
Rural 1,320 7.6 -0.5 0.6 0.1 -0.1
Urban 3,538 28.8 0.1 0.7 0.8 0.5