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The proposed measures are as follows: Medicare claims-based measure:—Hospice Care Index (HCI) Overall Score CAHPS Hospice Survey Data measures: ++ Help for Pain and Symptoms ++ Getting Timely Help ++ Willingness to Recommend this Hospice ++ Overall Rating of this Hospice (a) Hospice Care Index (HCI) We proposed including the HCI overall score based on eight quarters of Medicare claims data