- Wage Index Tables Final Rule and Correction Notice
- Hospital Wage Index
- Wage Index Tables
- Wage Index
- Final Rule and Correction Notice
Wage Index Table By CBSA Final Rule
This dataset lists Final Rule Wage Index Table by Core-Based Statistical Areas (CBSAs). The wage index reflects the geographic reclassification of hospitals to another labor market area in accordance with sections 1886(d)(8)(B) and 1886(d)(10) of the Act.
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Section 1886(d)(3)(E) of the Social Security Act requires that, as part of the methodology for determining prospective payments to hospitals, the Secretary must adjust the standardized amounts “for area differences in hospital wage levels by a factor (established by the Secretary) reflecting the relative hospital wage level in the geographic area of the hospital compared to the national average hospital wage level.” This adjustment factor is the wage index. We currently define hospital geographic areas (labor market areas) based on the definitions of Core-Based Statistical Areas (CBSAs) established by the Office of Management and Budget and announced in December 2003. The wage index also reflects the geographic reclassification of hospitals to another labor market area in accordance with sections 1886(d)(8)(B) and 1886(d)(10) of the Act.
The Act further requires that we update the wage index annually, based on a survey of wages and wage-related costs of short-term, acute care hospitals. Data included in the wage index derive from the Medicare Cost Report, the Hospital Wage Index Occupational Mix Survey, hospitals’ payroll records, contracts, and other wage-related documentation. In computing the wage index, we derive an average hourly wage for each labor market area (total wage costs divided by total hours for all hospitals in the geographic area) and a national average hourly wage (total wage costs divided by total hours for all hospitals in the nation). A labor market area’s wage index value is the ratio of the area’s average hourly wage to the national average hourly wage. The wage index adjustment factor is applied only to the labor portion of the standardized amounts. Note that in the FY 2012 IPPS final rule, CMS finalized a policy that allows a Lugar hospital that is eligible for and accepts the outmigration adjustment to automatically waive its urban status for the 3-year period for which the outmigration adjustment is effective.
About this Dataset
John Snow Labs; Centers for Medicare and Medicaid Services;
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Wage Index Tables, Wage Index, Final Rule and Correction Notice
Wage Index Tables Final Rule and Correction Notice, Hospital Wage Index
|CMS_Certification_Number||CMS Certification Number||string||-|
|Two_Digit_State_Code||Government integrated directory Two-Digit State Code Listing||integer||level : Ratio|
|Average_Hourly_Wage_FY_2022||Wage Index Average Hourly Wage||number||level : Ratio|
|Average_Hourly_Wage_2020_2021_2022||Wage Index 3-Year Average Hourly Wage (2020, 2021, 2022)||number||level : Ratio|
|Wage_Index||Wage Index by CBSA||number||level : Ratio|
|Geographic_Adjustment_Factor||Wage Index Geographic Adjustment Factor (GAF)||number||level : Ratio|
|Reclassified_Wage_Index||Wage Index Reclassified||number||level : Ratio|
|Reclassified_Geographic_Adjustment_Factor||Wage Index Reclassified Geographic Adjustment Factor (GAF)||number||level : Ratio|
|State_Rural_Floor||The rural floor was created to correct the “anomaly” of some urban hospitals being paid less than the average rural hospital in their state.||number||level : Ratio|
|Is_Eligible_For_Frontier_Wage_Index||Eligible for Frontier Wage Index||boolean||-|
|Is_Eligible_For_Rural_Floor_Wage_Index||Eligible for Rural Floor Wage Index||boolean||-|
|Pre_Frontier_Pre_Rural_Floor_Wage_Index||Pre-Frontier and/or Pre-Rural Floor Wage Index. Wage index does not include rural floor budget neutrality adjustment.||number||level : Ratio|
|Is_Eligible_For_Reclassified_Frontier_Wage_Index||Eligible for Reclassified Frontier Wage Index||boolean||-|
|Is_Eligible_For_Reclassified_Rural_Floor_Wage_Index||Eligible for Reclassified Rural Floor Wage Index. No hospitals are located in rural Puerto Rico. The Puerto Rico rural floor was calculated in accordance with the FY 2008 IPPS final rule (72 FR 47323)||boolean||-|
|Reclassified_Pre_Frontier_Pre_Rural_Floor_Wage_Index||Reclassified Pre-Frontier and/or Pre-Rural Floor Wage Index. Wage index does not include rural floor budget neutrality adjustment.||number||level : Ratio|
|CMS Certification Number||State||State Abbreviation||Two Digit State Code||Average Hourly Wage FY 2023||Average Hourly Wage 2021 2022 2023||Wage Index||Geographic Adjustment Factor||Reclassified Wage Index||Reclassified Geographic Adjustment Factor||State Imputed Floor||Is Eligible For Frontier Wage Index||Is Eligible For Rural Floor Wage Index||Is Eligible For Imputed Floor Wage Index||Pre Frontier Pre Rural Pre Imputed Floor Wage Index||Is Eligible For Reclassified Frontier Wage Index||Is Eligible For Reclassified Rural Floor Wage Index||Is Eligible For Reclassified Imputed Floor Wage Index||Reclassified Pre Frontier Pre Rural Floor Wage Index|