Navigation Links
Study: Medicare policy may account for growing length of hospice stays in nursing homes
Date:7/9/2010

Researchers at Brown University have found that the length of an average Medicare-certified hospice stay in a nursing home has doubled during the last 10 years.

The study, which will appear in the August issue of The Journal of the American Geriatrics Society, evaluated hospice use in U.S. nursing homes between 1999 and 2006. It found the typical treatment time has increased from 46 to 93 days. The researchers cited a standard daily payment rate for most Medicare hospice enrollment days as an incentive for some of the longer stays.

The study also found that the doubling of Medicare services in nursing homes is associated with a 50-percent growth in the number of hospices, primarily for-profit hospices. Currently, one-third of Medicare beneficiaries who die in nursing homes are accessing hospice services, and the study predicts that this number will increase.

While the increased availability and use of Medicare-sponsored hospice services was cited as a positive development by the researchers, they are concerned that stays are longest in states with the greatest provider growth. The study raises the possibility that reimbursement policies could be contributing to the volume of these very long stays.

"We undertook this study to inform efforts in Medicare hospice reform," said Susan Miller, associate research professor of community health at Brown University and lead author of the report. "Although we found a direct link between increases in hospice enrollments and a rise in the number of providers, it is the increasingly long lengths of stay we believe that raise policy concerns. Still, we caution against making sweeping changes to the program, which could deny nursing home residents hospice care. What is needed is a tiered Medicare hospice payment system, which gives higher rates for the beginning and end of the patient's treatment."

In addition to changing the rates of payment to reflect the timing of the more intense care needs, the researchers agree with a Medicare Payment Advisory Commission's recommendation that procedures for determining hospice eligibility recertification be strengthened. The recommended changes would help the Medicare system avoid undue scrutiny of nursing home residents who live beyond the physician-certified six-month prognosis, a Medicare requirement for hospice eligibility, and would allow patients to access the hospice care they need. In 2006, 30 percent of nursing home hospice stays were found to be seven days or less. Currently, 500,000 U.S. adults die in nursing homes each year.

The Medicare hospice benefit is designed to provide visits by an interdisciplinary care team to better manage pain and other end-of-life issues and to provide psychosocial and spiritual support in the nursing home setting for residents and their families. The authors acknowledge the benefits that Medicare hospice provides to these residents and families, while providing data that show a need for modification of the payment system.


'/>"/>

Contact: Anne Coyle
anne_coyle@brown.edu
401-863-1862
Brown University
Source:Eurekalert

Related medicine news :

1. Study: Higher-protein diets support weight loss, but may lower bone density in postmenopausal women
2. U of Minnesota study: Americans worried about the quality of Gulf seafood
3. Teens and alcohol study: After a few drinks, parenting style kicks in
4. Study: Getting patients to take their asthma meds
5. Study: Specific PTSD symptoms related to anger and aggressiveness among Iraq/Afghanistan veterans
6. Study: Adults take their physical activity on the road
7. Study: Mining is a major driver of sub-Saharan Africas TB epidemic
8. U of M study: Monitoring cholesterol increases life expectancy
9. Study: ER computer keyboards and bacteria
10. Study: Prostate cancer patients weight linked to tumor size
11. Henry Ford Hospital study: Fewer infections with new heart-pump implant
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/20/2017)... ... , ... “The Land of More and More”: a brilliant story for ... shares the simple and achievable answer. “The Land of More and More” is the ... Church in Angola, Indiana where he works with the children’s ministry department. , ...
(Date:1/19/2017)... ... ... Next week after January 20th, the fear for many is that the ... needs of over 30 million. Many interviews with Dr. Carol Francis at the Los ... were suppose to prioritize. Interviews provided below. , Among those present was ...
(Date:1/19/2017)... ... January 19, 2017 , ... ... innovators, engineers, and scientists from around the world, announces the launch of its ... quick and easy portal to research breakthroughs and trending news, vital information on ...
(Date:1/19/2017)... Park City, Utah (PRWEB) , ... January 19, ... ... Sundance Film Festival in a medical capacity this year. Drs. Alexander Paziotopoulos, Andrew ... Lounge to provide a condensed version of the clinic’s leading recovery program. ...
(Date:1/19/2017)... , ... January 19, 2017 , ... ... Conductor CTMS, which provides a modern CTMS workflow designed to seamlessly integrate and ... has been condensed to a single page, maximizing usability and improving efficiency significantly ...
Breaking Medicine News(10 mins):
(Date:1/19/2017)... 2017 This report on the opioid induced ... of the global market. Large number of chronic pain ... constipation is a major side effect of consumption of ... targeted therapy has been prescribed to treat opioid induced ... medicines, and growing awareness about the therapy are the ...
(Date:1/19/2017)... -- Accuray Incorporated (Nasdaq: ARAY ) announced ... set the bar for excellence in customer satisfaction. The ... rating among radiation treatment delivery systems in the U.S., ... Briefing™. The most recent ratings trend also shows Accuray ... for 11 of the past 12 quarters. ...
(Date:1/19/2017)... Shire plc (LSE: SHP, NASDAQ: ... and Drug Administration (FDA) has acknowledged receipt of the ... for SHP465, a long-acting, triple-bead, mixed amphetamine salts formulation. ... for Attention-Deficit/Hyperactivity Disorder (ADHD). The FDA is expected to ... the designated Prescription Drug User Fee Act (PDUFA) action ...
Breaking Medicine Technology: