The Final Rule updates value-based incentive payments available under the VBP Program and details the FY 2014 process required to fund this program including an increase in the applicable percent reduction to base operating Diagnosis Related Group (DRG) payment amounts by 1.25 percent.  CMS also finalizes the proposal to add new measures in FY 2016 including influenza immunization for hospital staff, catheter-associated urinary tract infection (CAUT), and surgical site infection (SSI).  The Final Rule also adopts performance standards, including achievement thresholds and benchmarks for the FY 2016 program including “floors” for all eight Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) dimensions.  The total estimated amount available for VBP incentive payments is $1.1 billion.