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

TitleTHE CARE SPAN Hospice 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
Pagination552-561
KeywordsHealth Conditions and Status, Healthcare, Medicare/Medicaid/Health Insurance
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, 2002-08, 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

Times Cited: 2

DOI10.1377/hlthaff.2012.0851
Endnote Keywords

Chronic care/Quality of care/Organization and delivery of care/Determinants of health/Access to care/Medicare/health Care Utilization

Endnote ID

69156

Citation Key7861