Hospice effect on government expenditures among nursing home residents.

Health Services Research
P GozaloV Mor

Abstract

To examine the effect of the Medicare hospice benefit on Medicare and Medicaid expenditures by dual-eligible Medicare-Medicaid nursing home (NH) residents. Secondary data for NH residents for 1998-1999. Retrospective cohort study of NH residents in the state of Florida who died between July and December 1999 (N=5,774). Medicare claims identified hospice enrollment, and Medicare and Medicaid claims identified expenditures by categories of care. Nursing home resident assessments were used to control for case-mix differences. Geocoding of nursing homes, hospice providers and hospitals was used to identify and characterize local health care markets. A file was constructed linking Medicare and Medicaid claims to Minimum Data Set assessments of NH residents, and NH provider (Online Survey and Certification Automated Record) and hospice provider files. Hospice enrollment results in substantial savings in government expenditures (22 percent) among all short-stay (< or =90 days) dying NH residents. For long-stay (>90 days) dying NH residents, hospice provides some savings (8 percent) among cancer residents while it is cost-neutral among dementia residents and adds some cost (10 percent) for residents with a diagnosis other than cancer o...Continue Reading

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Citations

Feb 12, 2009·Journal of Palliative Medicine·Helene StarksJ Randall Curtis
Nov 12, 2013·Journal of Palliative Medicine·Douglas C WoolleyNancy Davis
Jul 21, 2009·Journal of Pain and Symptom Management·Silvia Paz-RuizJoaquim Esperalba
Jul 15, 2015·Journal of Aging & Social Policy·Cara L Wallace
Mar 17, 2015·Journal of Palliative Medicine·Susan C MillerSarah A Thompson
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Jul 11, 2013·Palliative Medicine·Samantha SmithCharles Normand
Mar 22, 2014·Palliative Medicine·W-S Kelvin TeoIan Yi-Onn Leong
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Apr 10, 2016·Journal of the American Geriatrics Society·Kathleen T UnroeChristopher M Callahan
Jul 22, 2010·Journal of the American Geriatrics Society·Susan C MillerVincent Mor

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