Take a look at the top 10 areas with the biggest swings. The volatility of wage index changes for hospices is in full effect for the fiscal year starting Oct. 1. Fifty-four of 410 Core Based Statistical Areas (CBSAs) will see an increase or decrease of more than 5 percent to their wage index in 2020, as compared to the current year, according to analysis by Dave Macke of VonLehman & Co. in Ft. Wright, Kentucky. That’s 13 percent. Here are the top five CBSAs for positive changes: 1. Dutchess County-Putnam County, NY (CBSA code 20524) — 12.03 percent increase to 1.2553. The bottom five CBSAs with the largest decreases are: 1. Arecibo, PR (11640) — 13.95 percent decrease to 0.4193.
2. Lebanon, PA (30140) — 8.98 percent increase to 0.9335.
3. Midland, TX (33260) — 8.98 percent increase to 0.9932.
4. Vallejo-Fairfield, CA (46700) — 8.67 percent increase to 1.8629.
5. Kahului-Wailuku-Lahaina, HI (27980) — 8.62 percent increase to 1.2578.
2. Altoona, PA (11020) — 12.54 percent decrease to 0.9346.
3. Muncie, IN (34620) — 11.19 percent decrease to 0.8941.
4. Albany, GA (10500) — 8.95 percent decrease to 0.8070.
5. Macon-Bibb County, GA (31420) — 7.94 percent decrease to 0.8513.