"Summary of FY 2022 Alternative Considered based on FY 2020 MedPAR file
 Budget Neutrality Factors, Charge Inflation Factor, and CCR Adjustments"	
MS?DRG Reclassification and Recalibration Budget Neutrality Factor	0.999907
Wage Index Budget Neutrality Factor	1.000344
Reclassification Budget Neutrality Factor	0.987046
*Rural Floor Budget Neutrality Factor	0.993816
Rural Demonstration Budget Neutrality Factor	0.999335
Low Wage Index Hospital Policy Budget Neutrality Factor	0.998146
*The rural floor budget neutrality factor is applied to the national wage indexes while the rest of the budget neutrality adjustments are applied to the standardized amounts.	
Fixed Loss Outlier Threshold after incorporating outlier reconciliation methodology	"$ 36,843"
Fixed Loss Outlier Threshold without outlier reconciliation methodology	"$ 36,911"
	
One-year Charge Inflation Factor 	1.08965
Two-year Charge Inflation Factor	1.18734
	
December 2019 operating national average case?weighted CCR	0.248921
December 2020 operating national average case?weighted CCR	0.243478
One-year national operating CCR adjustment factor 	0.978134
December 2019 capital national average case?weighted CCR	0.02025
December 2020 capital national average case?weighted CCR	0.01947
One-year national capital CCR adjustment factor 	0.961481
