In 1977, Arnold Silver published the first and only Hospital Inflation Projections in his newsletter, Rate Controls.
These projections have been useful to all healthcare organizations including hospitals, insurers and suppliers. For hospitals, these projections can be used directly for budgeting and rate setting purposes or as a second opinion on the inflation figures the hospital has included in their budget. For insurers and suppliers, the figures have been used as a basis for negotiating contracts.
It is very important in the budgeting and rate setting process to have accurate inflation projections. If the hospital over-projects, the money WILL be spent. Under-projections are a problem as well. Department heads will be held accountable for spending overages that are beyond the hospital’s control.
Projections are based on CMS data, Medicare Cost Reports, industry surveys and previous trends. They are also based on the best information we have at the time and are subject to numerous variables.
This data is updated annually with the next update in the fall of 2018.
3-Year Wage Index History
Get a 3-year cost report and wage index history to discover trends or action items.
Wage Index Resources
CMS has released the FY 2025 Hospital Wage Index Timetable for year Beginning October 1, 2023. Click on the link below to download the timeline.
The following file contains FY 2024 Hospital Wage Index Timetable for year Beginning October 1, 2022.
The following file contains FY 2023 Hospital Wage Index Timetable for year Beginning October 1, 2021.
The following file contains FY 2022 Hospital Wage Index Timetable for year beginning October 1, 2020.
CMS allows a three-year average to calculate defined Benefit Pension amounts with a potential to amortize prior disallowed amounts over ten years.
Click on the link to get a worksheet to calculate your allowed amount.
In addition, we’ve provided a convenient link to the current Wage Index files housed on the Centers for Medicare and Medicaid Services (CMS) Web site. Click below to access this data.
Here is our companion web site that has the history of each CBSA’s Wage Index for the past three years. We will be updating the estimates with each new Public Use File CMS releases in October, February, May and August:
Here is the Occupational Mix Survey Form and Instructions for the OMS due July 1, 2023.
Instructions in PDF Format as well.
We’ll continue to update and post useful resources for Wage Index Data. Please e-mail or call us at (602) 296-7182
Relevant Industry Links
Three-year history of the Medicare wage index for each CBSA:
The CMS website contains Public Use Files (PUFs) that include the Worksheet S-3s submitted by hospitals nationwide and the resulting AHWs:
CMS- Wage Index Files:
CMS – Provider Reimbursement Manual*
• See Chapter 40 for instructions of Form CMS 2552-10
CMS – Acute Inpatient PPS:
The Federal Register is published daily at:
American Hospital Association:
CMS Deadline Calendar Download
Hospitals face many deadlines dictated by CMS throughout the year. We have created a downloadable file of these CMS deadlines that can be added directly to your calendar. Click on the link below…
August 3, 2020 – Last Occupational Mix Survey to be submitted to MAC
April 30, 2021 – Release of Final FY 2022 wage index and occupational mix data PUF
May 28, 2021 – Deadline to submit corrections to April PUF
May 31, 2021 – Cost Report for December FYE due
August 1, 2021 – Publication of Final Rule PUF
August 31, 2021 – Cost Report for March FYE
September 2, 2021 – Deadline to submit FY 2023 revisions
October 1, 2021 – Effective date of FY 2022 wage index
November 30, 2021 – Cost Report for June FYE due
January 28, 2022 – Release of revised FY 2023 PUF.
Find your Wage Index at http://www.wageindex.com
April/May 2022 – Final rule for FY 2023 to be published
August 1, 2022 – Publication of FY 2023 final rule
September 2, 2022 – Deadline for FY 2024 revisions
October 1, 2022 – Effective date of FY 2023 Wage Index
April/May 2023 – Final rule for FY 2024 to be published
July 1, 2023 – Occupational Mix Surveys Due
August 1, 2023 -Publication of FY 2024 final rule
October 1, 2023 – Effective date of FY 2024 Wage Index