CMS releases first report on Post-Acute Care and Hospice Utilization and Payment Public Use

Sept. 24, 2019

The Centers for Medicare and Medicaid Services (CMS) posted the first annual release of the Post-Acute Care and Hospice Utilization and Payment Public Use Files (herein known as “PAC PUF”) with data for 2017. The release of the PAC PUF demonstrates our commitment to empowering patients and stakeholders across the healthcare system with the price and quality information they need to make informed healthcare decisions.

The PAC PUF replaces the Home Health, Hospice, and skilled nursing facilities (SNF) Utilization and Payment PUFs released in past years. The PAC PUF has a number of improvements over these earlier files including data for inpatient rehabilitation facilities (IRF) and long-term care hospitals (LTCH), a number of new metrics, and standardized metrics across all PAC and hospice settings. In addition, these changes better align CMS’ information products with the data standardization and cross-setting measures outlined in the 2014 Improving Medicare Post-Acute Transformation Act (IMPACT Act).

The PAC PUF presents summarized information on services provided to Medicare beneficiaries by 9,701 home health agencies, 4,254 hospices, 15,036 SNFs, 1,119 IRFs, and 410 LTCHs. The PAC PUF includes summarized information on nearly 16 million claims and over $74 billion in Medicare payments for 2017. It contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, submitted charges, and payments at the provider, state, and national levels.

Additionally, the PUF includes payment information at the payment system level for home health agencies, SNFs, and IRFs. CMS protects beneficiaries’ personal information in all public data releases.