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Hospice. Can it work within managed care?

P Lemkin1

  • 1DHT/Torrance Memorial Home Health and Hospice, Torrance, CA, USA.

Caring : National Association for Home Care Magazine
|July 6, 1997
PubMed
Summary

Managed care organizations need education on unique hospice services like volunteer contributions and cost savings of home-based end-of-life care. Hospices must actively educate managed care systems for better patient inclusion and integrated care delivery.

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Area of Science:

  • Healthcare Management
  • Palliative Care
  • Health Economics

Background:

  • Managed care organizations (MCOs) often lack awareness of specialized hospice services.
  • Understanding the full spectrum of hospice care is crucial for effective patient management and resource allocation.
  • The potential benefits of hospice care, including cost savings, are frequently underestimated by MCOs.

Purpose of the Study:

  • To highlight unique hospice services often overlooked by managed care organizations.
  • To emphasize the importance of patient enrollment at the appropriate stage of illness for optimal hospice outcomes.
  • To inform MCOs about the potential economic advantages of home-based end-of-life care through hospice.

Main Methods:

  • Literature review on hospice service integration within managed care frameworks.
  • Analysis of cost-effectiveness data comparing hospice care at home versus hospital settings.
  • Case study examples illustrating the value of volunteer services in hospice care.

Main Results:

  • MCOs demonstrate limited knowledge regarding volunteer roles and their impact on patient well-being.
  • Inconsistent understanding exists among MCOs about optimal timing for hospice enrollment.
  • Significant cost-saving potential associated with home hospice care compared to inpatient hospital care is often unrecognized.

Conclusions:

  • Hospice providers must initiate targeted educational initiatives for MCOs.
  • Effective communication strategies are needed to integrate hospice services into managed care systems.
  • Increased MCO awareness can lead to improved patient access to comprehensive end-of-life care and potential healthcare savings.

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