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Hospice management. Operational, reimbursement, and financial issues
Summary
Medicare certification is increasingly vital for U.S. hospices, with over 200 new certifications in 1990. This growth is driven by demand and legislative changes, offering financial opportunities for various healthcare providers.
Area of Science:
- Healthcare Management
- Health Economics
- Public Health Policy
Background:
- The United States has an estimated 1,700 hospices.
- Approximately 50% of these hospices are Medicare-certified.
- Over 200 hospices achieved Medicare certification in 1990 alone.
Purpose of the Study:
- To analyze the factors contributing to the recent growth in Medicare-certified hospices.
- To examine the financial implications of Medicare certification for hospice providers and related agencies.
Main Methods:
- Analysis of hospice certification trends in the United States.
- Review of legislative changes impacting hospice reimbursement.
Main Results:
- Significant increase in Medicare-certified hospices, with over 200 new certifications in 1990.
- Growth attributed to demand for hospice services and a 20% rate increase from the Omnibus Budget Reconciliation Act of 1989.
- Medicare certification presents financial opportunities for hospices, non-participating hospices, and certified home health agencies.
Conclusions:
- Medicare certification is a key factor in the expansion and financial viability of hospice services.
- Legislative actions have positively influenced hospice participation and growth.
- The trend indicates a growing importance of Medicare certification for healthcare providers in end-of-life care.