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GAO-10-974R 1 (2010-08-02)

handle is hein.gao/gaobadxbv0001 and id is 1 raw text is: 


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T  E  WAccountability * Integrity * Reliability
United States Government Accountability Office
Washington, DC 20548


         B-320243


         August 2, 2010

         The Honorable Max Baucus
         Chairman
         The Honorable Charles E. Grassley
         Ranking Member
         Committee on Finance
         United States Senate

         The Honorable Henry A. Waxman
         Chairman
         The Honorable Joe L. Barton
         Ranking Member
         Committee on Energy and Commerce
         House of Representatives

         The Honorable Sander M. Levin
         Acting Chairman
         The Honorable Dave Camp
         Ranking Member
         Committee on Ways and Means
         House of Representatives

         Subject: Department of Health and Human Services, Centers for Medicare &
                 Medicaid Services: Medicare Program, Hospice Wage Index for Fiscal Year
                 2011

         Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a
         major rule promulgated by the Department of Health and Human Services, Centers
         for Medicare & Medicaid Services (CMS), entitled Medicare Program; Hospice Wage
         Index for Fiscal Year 2011; Notice (RIN: 0938-AP84). We received the rule on
         July 22, 2010. It was published in the Federal Register as a notice with comment
         period on July 22, 2010, with an effective date of October 1, 2010. 75 Fed. Reg.
         42,944.

         The notice announces the annual update to the hospice wage index for fiscal year
         (FY) 2011 and continues the phase out of the wage index budget neutrality
         adjustment factor (BNAF), with an additional 15 percent BNAF reduction, for a total
         BNAF reduction in FY 2011 of 25 percent. The BNAF phase-out will continue with


GAO-10-974R

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