Hospice Enrollment Saves Money For Medicare And Improves Care Quality Across A Number Of Different Lengths-Of-Stay

TitleHospice Enrollment Saves Money For Medicare And Improves Care Quality Across A Number Of Different Lengths-Of-Stay
Publication TypeJournal Article
Year of Publication2013
AuthorsKelley, AS, Deb, P, Du, Q, Carlson, MDAldridg, Morrison, RS
JournalHealth Affairs
Volume32
Issue3
Pagination552-61
KeywordsConsumption and Savings, Healthcare, Medicare/Medicaid/Health Insurance, Public Policy
Abstract

Despite its demonstrated potential to both improve quality of care and lower costs, the Medicare hospice benefit has been seen as producing savings only for patients enrolled 53-105 days before death. Using data from the Health and Retirement Study, 2002-2008, and individual Medicare claims, and overcoming limitations of previous work, we found 2,561 in savings to Medicare for each patient enrolled in hospice 53-105 days before death, compared to a matched, nonhospice control. Even higher savings were seen, however, with more common, shorter enrollment periods: 2,650, 5,040, and 6,430 per patient enrolled 1-7, 8-14, and 15-30 days prior to death, respectively.Within all periods examined, hospice patients also had significantly lower rates of hospital service use and in-hospital death than matched controls. Instead of attempting to limit Medicare hospice participation, the Centers for Medicare and Medicaid Services should focus on ensuring the timely enrollment of qualified patients who desire the benefit.

Notes

Copyright - Copyright The People to People Health Foundation, Inc., Project HOPE Mar 2013 Document feature - Tables; Graphs; References Last updated - 2013-05-25 DOI - 2915999051; 76250142; 15986; HAF; 23459735; INODHAF0001192568 SubjectsTermNotLitGenreText - United States--US

URLhttp://search.proquest.com.proxy.lib.umich.edu/docview/1316561537?accountid=14667
Endnote Keywords

Experiment/theoretical treatment/Quality of care/Hospice care/Social policy/Health care industry/Medicare/Cost reduction/Public Health And Safety

Endnote ID

68996

Citation Key7809