Post on 28-Dec-2015
Hospice 101
Introduction
Complex Patients SpurringMedicare Cost GrowthHealthcare Costs at the End of LifeIn the last 6 months of life – Poly-Physicians
The Hospice Philosophy
Industry Trends
Important Needs Going UnmetPalliative Care Teams Significantly Reduce
Hospital CostsLate Referrals Undermine Hospice ValueHospice Extends Life
Containing Costs
Early engagement of hospice services lead to longer and better quality of life
Hospice decreases Medicare expendituresEnd of Life Programs
End of Life Conversations have positive impact on cost reduction and quality improvement Advance cancer patients who had End of Life
discussions showed 35.7% in lower costs than those with no EOL discussions
Patient with higher costs had worse EOL experience in their final weeks
Who pays for hospice care?
Medicare 83.4%Private insurance 8.6%Medicaid 4.9%What we pay for
4 Levels of Care
Who Qualifies
Terminal dx with life expectancy of 6 monthsMultiple dx including cancer, COPD, sepsis,
failure to thrive, dementia, ESHD, ESRD, heart failure
Final Thoughts and Questions