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