Advanced directives lower end-of-life Medicare spending

TitleAdvanced directives lower end-of-life Medicare spending
Publication TypeJournal Article
Year of Publication2012
AuthorsRosenberg, K
JournalThe American Journal of Nursing
KeywordsEnd of life decisions, Healthcare, Medicare/Medicaid/Health Insurance

Treatment during the last year of life accounts for as much as one-quarter of Medicare spending, but whether advanced directives affect end-of-life spending or alter the course of treatment is unclear. Nicholas and colleagues used data from the Health and Retirement Study that were linked to Medicare claims to evaluate the relationship between advanced directives and the cost and aggressiveness of end-of-life care in US regions with high, medium, and low end-of-life expenditures. The authors suggest that having an advanced directive may be especially important for patients living in high-spending regions where aggressive end-of-life care is the norm.

Endnote Keywords

Advance directives/Palliative care/Health care expenditures/Medicare

Endnote ID


Citation Key7687
PubMed ID21972306
PubMed Central IDPMC3332047