Hospice SSVI Score Lookup

Searching 7,059 hospices. Lower SSVI scores are closer to CMS's target range; higher scores are flagged as outliers.

What is the SSVI?

The Service and Spending Variation Index (SSVI) is a hospice scoring system CMS introduced in the FY2027 Hospice Wage Index proposed rule (CMS-1851-P). For the first time, CMS published a provider-level score for nearly every U.S. hospice, built entirely from claims data, to add transparency around hospice utilization and non-hospice spending. A higher score signals greater variation from CMS's expected range — and a potentially higher level of program-integrity concern.

How the SSVI score is calculated

The total SSVI runs from 0 to 16 and is the sum of two parts:

• Non-Hospice Spending Score (0–8) — reflects Medicare spending on services outside the hospice benefit for the hospice's patients. Hospices with no reported non-hospice spending receive 0; the rest are divided into eight roughly equal groups by spending level, with higher spending earning more points.
• Utilization Score (0–8) — built from eight claims-based measures, each worth one point, such as the percentage of beneficiaries with a length of stay of 180+ days, average minutes per routine home care day, and live-discharge patterns (including beneficiaries who return to the same hospice within seven days). Search your hospice above to see exactly which measures you were flagged on.

What your score means

Lower is better. A score near 0 means the hospice sits close to CMS's target range on both spending and utilization. A score near 16 means it is among the highest outliers. Because the score is relative, the lookup above also tells you what percentage of scored hospices you rank better than, and your raw percentile. In FY2025 CMS scored 6,642 hospices, and in FY2024 it scored 6,735.

Frequently asked questions

What does it mean if my hospice is "not scored"?

A dash (–) in the CMS file means CMS did not have enough data to calculate a score for that hospice in that fiscal year. It is not a zero. A hospice may be scored in one fiscal year and not the other.

Does a high SSVI score mean my hospice committed fraud?

No. CMS is explicit that the SSVI is not a direct indicator of fraud, waste, or abuse. A high score represents a potentially higher level of concern that may warrant increased transparency and oversight — not a determination of wrongdoing.

What years does this cover?

This tool reports the CMS-published SSVI scores for FY2024 and FY2025 from the file released with the FY2027 Hospice Wage Index proposed rule.

Want the bigger picture? Browse SSVI scores by state — the 10 highest scores in each state and the measures driving them — or jump straight to the measure-by-measure improvement guides.