tci Medicare Compliance & Reimbursement - 2010 Issue 13
Hospice: Hospice Use May Grow If Concurrent Care Demo Takes Off
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Article Overview
This article explains how recent health reform provisions and a proposed Medicare demonstration may affect hospice utilization for patients with terminal illnesses. It discusses the policy context for simultaneous hospice and curative care, the role of CMS in designing the demonstration, and the broader implications for hospice providers, patients, and Medicare stakeholders.
Why This Topic Matters
It helps hospice, palliative care, and reimbursement professionals understand a policy change that could alter hospice election patterns and future Medicare program design.
Article Sections
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Health reform provisions affecting hospice care
Introduces the policy changes tied to health reform and the broader context for hospice access. It focuses on how the article frames the relationship between hospice use and concurrent care.
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Medicare Hospice Concurrent Care Demonstration Program
Summarizes the proposed Medicare demonstration and the agencies involved in planning it. It also notes the general scope of the demonstration and the areas it is intended to examine.
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Removing the tough choice as a barrier to hospice
Discusses expert commentary on how concurrent care may influence patient decisions about hospice. It places the policy change in the context of hospice philosophy and patient quality of life.
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Utilization and cost context
Provides background statistics on hospice participation, spending, and length of stay. This section supports the article’s policy discussion with high-level Medicare program data.
What You Will Learn
- The policy context for hospice and concurrent care under recent health reform
- How a Medicare demonstration may be structured and evaluated at a high level
- Why concurrent care may change hospice decision-making for terminally ill patients
- What the article reports about hospice use, spending, and length of stay in Medicare
Who Should Read This
- Hospice providers
- Palliative care professionals
- Medicare billing and reimbursement staff
- Health policy analysts
- Healthcare administrators
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