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Medicare hospice benefit: early program experiences.

Health Care Financing Review

|February 3, 1989

Summary

This summary is machine-generated.

The Medicare hospice benefit saw increased adoption, with more beneficiaries electing care and higher reimbursement rates by 1986. Home health agency-based hospices were most likely to be Medicare certified.

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Area of Science:

Healthcare Policy
Gerontology
Public Health

Background:

The Medicare hospice benefit provides palliative care for terminally ill beneficiaries.
Understanding the uptake and financial aspects of this benefit is crucial for healthcare planning.

Purpose of the Study:

To present an overview of the Medicare hospice benefit.
To provide preliminary findings from the program's evaluation.

Main Methods:

Descriptive analysis of Medicare certification data for various hospice types.
Trend analysis of beneficiary election and reimbursement data from fiscal years 1984 to 1986.

Main Results:

By mid-1987, approximately 50% of home health agency-based hospices were Medicare certified, compared to 20% of independent hospices and 14% of facility-based ones.

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Medicare beneficiary enrollment in hospice increased significantly, from ~2,000 in FY1984 to ~11,000 in FY1986.

Average Medicare reimbursement per patient rose from $1,798 in FY1984 to $2,337 in FY1986.

Conclusions:

The Medicare hospice benefit experienced substantial growth in beneficiary utilization and reimbursement between 1984 and 1986.
Home health agency-based hospices showed the highest rate of Medicare certification during the study period.