fbpx

< Back to Thought Leadership

Contract Labor: Impact on Wage Index

Outsourcing is a common practice in all areas of business, including the healthcare sector. Although this is a major expense for a hospital, it can have an effect on the wage index factor impacting Medicare reimbursement. The wage index factor is determined through a hospital’s wage index average hourly wage which includes both employees on the hospital payroll and certain contracted vendors. This factor is used to calculate the wage component of a hospital’s DRG payment rate. If a hospital’s contract labor is identified and reported correctly, it could raise its wage index factor significantly.

Blue & Co.’s Wage Index team has significant experience in identifying contract labor for reporting on the Wage Index Survey. We can also assist in answering questions about how CMS uses the Wage Index Survey and how it impacts Medicare reimbursement.

We can help ensure you are in compliance with CMS regulations and work with your hospital to appropriately capture all the information required.

Please contact one of the following people if you would like more information:
Carolyn Chaplin at cchaplin@blueandco.com
Kyle Smith at kcsmith@blueandco.com

Wage Index Timeline Blog Post | Doctor typing on tablet at desk

Wage Index Timeline: Mid-Year Update and Looking into 2026

As we head into the second half of the 2025 calendar year, there are a few major dates that you need to be aware of for wage index purposes. These […]

Learn More
Therapy Compliance in SNFs: What Administrators Need to Know | Nurses working with elderly in skilled nursing facility physical therapy room

Therapy Compliance in SNFs: What Administrators Need to Know (Part Two)

Physical, occupational, and speech therapy services are vital in skilled nursing facilities (SNFs) for resident recovery, rehabilitation, and quality of life. However, beyond achieving clinical outcomes, therapy departments must navigate […]

Learn More
one big beautiful bill

How the One Big Beautiful Bill Act Will Impact Not-For-Profit Organizations

By Angela Crawford, Director, and Emilie Knieriem, Senior Manager at Blue & Co. On May 22nd, the House narrowly passed the “One Big Beautiful Bill Act” (H.R. 1). This bill […]

Learn More