tci Medicare Compliance & Reimbursement - 2015 Issue 13

Studies & Surveys: Medicare Costs Rising With Hospice Patients In Nursing Homes

Aggressive care also needed. A new study published in the New England Journal of Medicine focused on hospices’ linking with nursing homes to provide aggressive care and its impact on Medicare costs. Researchers led by Dr. Pedro Gozalo of Brown University compared the costs for nursing home patients in their last year of life in 2004 versus 2009. In that time period, hospice use went from 27.6 percent of patients to 39.8 percent. Pro: Hospice care did result in fewer hospital admissions and less aggressive care, such as fewer feeding tubes. Con: But “the expansion of...

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