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Related Experiment Video

Updated: Jul 2, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Variation in patients' hospice costs.

Haiden A Huskamp¹, Joseph P Newhouse, Jessica Cafarella Norcini

¹Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA. huskamp@hcp.med.harvard.edu

Inquiry : a Journal of Medical Care Organization, Provision and Financing

|September 5, 2008

Summary

Hospice care costs per day decrease with longer stays and are lower for nursing home residents. Potential Medicare payment adjustments are proposed, but broader data is needed for confirmation.

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Last Updated: Jul 2, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Area of Science:

Health Economics
Geriatric Care
Palliative Medicine

Background:

Understanding cost variations in hospice care is crucial for optimizing resource allocation.
The current Medicare per diem payment system may not fully account for patient-specific cost drivers.

Purpose of the Study:

To analyze patient-level cost data from a single hospice to identify factors influencing daily hospice expenditures.
To explore potential modifications to the Medicare per diem reimbursement structure based on observed cost variations.

Main Methods:

Utilized patient-level cost data from one hospice facility.
Performed regression analysis to examine the relationship between hospice stay duration, patient residence (nursing home vs. non-resident), and per diem costs.

Main Results:

Average per diem costs demonstrated an inverse correlation with the duration of hospice care.
Costs per day were significantly lower for patients residing in nursing homes compared to those in other settings.
Identified specific payment adjustments, such as higher per diems for initial and final days and a nursing home residence adjuster, as potential improvements.

Conclusions:

Hospice cost structures exhibit variability influenced by length of stay and patient living arrangements.
Proposed Medicare per diem payment system alterations could potentially improve cost alignment.
Further research with a larger, more diverse hospice dataset is essential to validate these findings and inform policy changes.