Discharges, length of stay, and clinical census risk across hospice agencies.
Cap year runs Oct 1 – Sep 30. Full range across all cap years.
PS&R report run date: 09/04/26
| Cap Year | Beneficiary Count | Allowable Medicare Pmts | PS&R Net Reimbursement | Cap Liability / Space | % of Cap |
|---|---|---|---|---|---|
| 2016 | 43.3178 | $1,205,133.68 | $623,884.14 | $581,249.54 | 51.8% |
| 2017 | 47.8915 | $1,360,357.58 | $1,234,101.97 | $126,255.61 | 90.7% |
| 2018 | 89.5043 | $2,567,792.44 | $1,733,110.84 | $834,681.60 | 67.5% |
| 2019 | 70.3717 | $2,055,236.46 | $1,451,850.62 | $603,385.84 | 70.6% |
| 2020 | 74.6477 | $2,236,801.91 | $1,310,212.57 | $926,589.34 | 58.6% |
| 2021 | 77.7705 | $2,386,304.58 | $1,526,681.58 | $859,623.00 | 64.0% |
| 2022 | 286.1094 | $8,954,540.42 | $6,512,190.25 | $2,442,350.17 | 72.7% |
| 2023 | 292.1326 | $9,490,488.41 | $8,255,619.44 | $1,234,868.97 | 87.0% |
| 2024 | 322.194 | $10,791,569.06 | $8,466,362.41 | $2,325,206.65 | 78.5% |
| 2025 | 310.8199 | $10,712,513.53 | $9,308,993.56 | $1,403,519.97 | 86.9% |
| 2026 | 304.3831 | $10,763,424.73 | $8,262,274.91 | $2,501,149.82 | 76.8% |
| Total | $62,524,162.80 | $0.00 | 0.0% |
PS&R report run date: 09/04/26
| Cap Year | Beneficiary Count | Allowable Medicare Pmts | PS&R Net Reimbursement | Cap Liability / Space | % of Cap |
|---|---|---|---|---|---|
| 2016 | 82.879 | $2,305,755.94 | $1,927,785.88 | $377,970.06 | 83.6% |
| 2017 | 87.6521 | $2,489,757.02 | $2,478,352.82 | $11,404.20 | 99.5% |
| 2018 | 76.2246 | $2,186,810.60 | $2,477,861.25 | -$291,050.65 | 113.3% |
| 2019 | 124.5781 | $3,638,358.22 | $2,790,169.93 | $848,188.29 | 76.7% |
| 2020 | 145.4536 | $4,358,485.12 | $3,910,976.99 | $447,508.13 | 89.7% |
| 2021 | 150.4902 | $4,617,630.76 | $5,408,250.23 | -$790,619.47 | 117.1% |
| 2022 | 148.3516 | $4,643,050.52 | $6,040,392.49 | -$1,397,341.97 | 130.1% |
| 2023 | 144.7236 | $4,701,624.02 | $5,586,227.33 | -$884,603.32 | 118.8% |
| 2024 | 96.9727 | $3,248,004.58 | $4,410,062.38 | -$1,162,057.80 | 135.8% |
| 2025 | 61.8741 | $2,132,511.89 | $2,949,309.80 | -$816,797.90 | 138.3% |
| 2026 | 52.5114 | $1,856,878.72 | $1,374,893.30 | $481,985.42 | 74.0% |
| Total | $36,178,867.41 | -$5,342,471.11 | 14.8% |
PS&R report run date: 09/04/26
| Cap Year | Beneficiary Count | Allowable Medicare Pmts | PS&R Net Reimbursement | Cap Liability / Space | % of Cap |
|---|---|---|---|---|---|
| 2016 | 24.8273 | $690,714.11 | $481,131.48 | $209,582.63 | 69.7% |
| 2017 | 34.1575 | $970,243.45 | $862,436.63 | $107,806.82 | 88.9% |
| 2018 | 34.8913 | $1,000,997.90 | $1,078,726.99 | -$77,729.09 | 107.8% |
| 2019 | 22.6903 | $662,680.20 | $640,560.99 | $22,119.21 | 96.7% |
| 2020 | 19.7927 | $593,083.90 | $684,093.22 | -$91,009.32 | 115.3% |
| 2021 | 12.5868 | $386,212.49 | $470,747.52 | -$84,535.03 | 121.9% |
| 2022 | 26.6979 | $835,580.46 | $410,813.16 | $424,767.30 | 49.2% |
| 2023 | 67.7492 | $2,200,962.84 | $1,428,720.37 | $772,242.47 | 64.9% |
| 2024 | 59.4802 | $1,992,230.41 | $1,941,397.11 | $50,833.30 | 97.4% |
| 2025 | 53.2979 | $1,836,930.24 | $1,351,793.60 | $485,136.64 | 73.6% |
| 2026 | 71.0517 | $2,512,490.43 | $1,655,745.44 | $856,744.99 | 65.9% |
| Total | $13,682,126.43 | -$253,273.44 | 1.9% |
PS&R report run date: 09/04/26
| Cap Year | Beneficiary Count | Allowable Medicare Pmts | PS&R Net Reimbursement | Cap Liability / Space | % of Cap |
|---|---|---|---|---|---|
| 2020 | 1 | $29,964.78 | $503.32 | $29,461.46 | 1.7% |
| 2022 | 10.9741 | $343,463.10 | $160,174.05 | $183,289.05 | 46.6% |
| 2023 | 101.014 | $3,281,633.74 | $1,883,546.73 | $1,398,087.01 | 57.4% |
| 2024 | 133.2731 | $4,463,850.54 | $3,936,849.90 | $527,000.64 | 88.2% |
| 2025 | 155.5872 | $5,362,365.75 | $5,643,965.25 | -$281,599.50 | 105.3% |
| 2026 | 170.4765 | $6,028,294.53 | $4,370,691.59 | $1,657,602.94 | 72.5% |
| Total | $19,509,572.44 | -$281,599.50 | 1.4% |
PS&R report run date: 09/04/26
| Cap Year | Beneficiary Count | Allowable Medicare Pmts | PS&R Net Reimbursement | Cap Liability / Space | % of Cap |
|---|---|---|---|---|---|
| 2021 | 2.6575 | $81,542.54 | $63,535.88 | $18,006.66 | 77.9% |
| 2022 | 14.7452 | $461,489.52 | $176,139.93 | $285,349.59 | 38.2% |
| 2023 | 24.0375 | $780,904.34 | $419,416.54 | $361,487.80 | 53.7% |
| 2024 | 7.5175 | $251,791.22 | $101,408.59 | $150,382.63 | 40.3% |
| 2025 | 21.3789 | $736,831.06 | $439,432.70 | $297,398.36 | 59.6% |
| 2026 | 35.2621 | $1,246,918.63 | $634,567.45 | $612,351.18 | 50.9% |
| Total | $3,559,477.31 | $0.00 | 0.0% |
PS&R report run date: 09/04/26
| Cap Year | Beneficiary Count | Allowable Medicare Pmts | PS&R Net Reimbursement | Cap Liability / Space | % of Cap |
|---|---|---|---|---|---|
| 2017 | 11.9745 | $340,135.55 | $494,266.92 | -$154,131.37 | 145.3% |
| 2018 | 33.193 | $952,275.30 | $1,722,111.36 | -$769,836.06 | 180.8% |
| 2019 | 200.621 | $5,859,224.58 | $7,744,048.79 | -$1,884,824.21 | 132.2% |
| 2020 | 278.0226 | $8,330,886.04 | $8,038,404.32 | $292,481.72 | 96.5% |
| 2021 | 283.4475 | $8,697,283.25 | $6,855,613.93 | $1,841,669.32 | 78.8% |
| 2022 | 194.3698 | $6,083,310.20 | $5,977,305.05 | $106,005.15 | 98.3% |
| 2023 | 246.6414 | $8,012,619.43 | $6,136,122.67 | $1,876,496.76 | 76.6% |
| 2024 | 229.4323 | $7,684,607.75 | $7,266,211.95 | $418,395.80 | 94.6% |
| 2025 | 284.4276 | $9,802,893.94 | $9,237,427.81 | $565,466.13 | 94.2% |
| 2026 | 342.5527 | $12,113,156.75 | $9,545,784.01 | $2,567,372.74 | 78.8% |
| Total | $67,876,392.79 | -$2,808,791.64 | 4.1% |
PS&R report run date: 09/04/26
| Cap Year | Beneficiary Count | Allowable Medicare Pmts | PS&R Net Reimbursement | Cap Liability / Space | % of Cap |
|---|---|---|---|---|---|
| 2016 | 0.5805 | $16,149.95 | $20,319.80 | -$4,169.86 | 125.8% |
| 2017 | 5.0264 | $142,774.84 | $143,025.80 | -$250.96 | 100.2% |
| 2018 | 6.891 | $197,696.17 | $145,797.51 | $51,898.66 | 73.7% |
| 2019 | 28.7234 | $838,879.54 | $1,067,173.51 | -$228,293.97 | 127.2% |
| 2020 | 75.8745 | $2,273,562.70 | $2,955,511.21 | -$681,948.51 | 130.0% |
| 2021 | 80.911 | $2,482,667.46 | $3,823,012.92 | -$1,340,345.46 | 154.0% |
| 2022 | 63.3512 | $1,982,741.15 | $3,183,654.34 | -$1,200,913.19 | 160.6% |
| 2023 | 16.4695 | $535,043.33 | $869,310.11 | -$334,266.78 | 162.5% |
| 2024 | 110.4867 | $3,700,642.63 | $3,509,074.02 | $191,568.61 | 94.8% |
| 2025 | 139.678 | $4,814,049.76 | $3,737,337.40 | $1,076,712.36 | 77.6% |
| 2026 | 9.9609 | $352,231.77 | $217,702.89 | $134,528.88 | 61.8% |
| Total | $17,336,439.30 | -$3,790,188.73 | 21.9% |
PS&R report run date: 09/04/26
| Cap Year | Beneficiary Count | Allowable Medicare Pmts | PS&R Net Reimbursement | Cap Liability / Space | % of Cap |
|---|---|---|---|---|---|
| 2021 | 1.3491 | $41,395.69 | $68,855.38 | -$27,459.69 | 166.3% |
| 2022 | 44.3846 | $1,389,131.90 | $1,190,415.14 | $198,716.76 | 85.7% |
| 2023 | 94.1181 | $3,057,607.19 | $3,204,195.11 | -$146,587.92 | 104.8% |
| 2024 | 10.0098 | $335,268.34 | $440,860.80 | -$105,592.46 | 131.5% |
| 2025 | 2 | $68,930.68 | $27,522.73 | $41,407.95 | 39.9% |
| 2026 | 0.9921 | $35,082.08 | $38,703.06 | -$3,620.98 | 110.3% |
| Total | $4,927,415.88 | -$283,261.05 | 5.7% |
CMS-published aggregate cap amount per Medicare beneficiary. Cap year runs Oct 1 – Sep 30.
| Cap Year | Aggregate Cap Amount | % Increase |
|---|---|---|
| 2016 | $27,820.75 | — |
| 2017 | $28,404.99 | 2.1% |
| 2018 | $28,689.04 | 1.0% |
| 2019 | $29,205.44 | 1.8% |
| 2020 | $29,964.78 | 2.6% |
| 2021 | $30,683.93 | 2.4% |
| 2022 | $31,297.61 | 2.0% |
| 2023 | $32,486.92 | 3.8% |
| 2024 | $33,494.01 | 3.1% |
| 2025 | $34,465.34 | 2.9% |
| 2026 | $35,361.44 | 2.6% |