The Medicare Part A deductible – for inpatient hospital, skilled nursing facility and home health services – will increase by $32 in calendar year 2014, to $1,216, the Centers for Medicare & Medicaid Services announced yesterday. The daily coinsurance amounts will be $304 for days 61-90 of hospitalization in a benefit period; $608 for lifetime reserve days; and $152 for days 21-100 of extended care services in a skilled nursing facility in a benefit period. The monthly Part A premium, paid by just 1% of beneficiaries who have fewer than 40 quarters of Medicare-covered employment, will decline by $9 or $15 in CY 2014 (to $234 or $426, respectively), depending how long they had Medicare-covered employment. The base Part B monthly premium and annual deductible – for physician and hospital outpatient services, certain home health services, durable medical equipment and other items – will be unchanged for CY 2014 at $104.90 and $147, respectively. The base Part B premium is adjusted upward for higher income beneficiaries.