+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Nearly half of all Medicare hospice enrollees received care from agencies owned by regional or national chains



Nearly half of all Medicare hospice enrollees received care from agencies owned by regional or national chains



Health Affairs 34(1): 30-38



Analyses of ownership in the US hospice sector have focused on the growth of for-profit hospice care and on aggregate differences in patient populations and service use patterns between for-profit and not-for-profit agencies. Such comparisons, although useful, do not offer insights about the types of organizations within the hospice sector, including the emergence of multiagency chains. Using Medicare cost report data for the period 2000-11, we tracked the evolution of the US hospice industry. We not only describe the market's composition by profit status but also provide new information about the roles of regional and national chains. Almost half of all Medicare hospice enrollees in 2011 received hospice services from a multiagency chain. A handful of companies play a prominent role, although the presence of smaller for-profit and not-for-profit hospice chains also has grown in recent years. By focusing on the role of the diverse organizations that provide hospice care, our analyses can help inform efforts to monitor and assure quality of care, to assess payment adequacy and options for reform, and to facilitate greater transparency and accountability within the hospice marketplace.

(PDF emailed within 0-6 h: $19.90)

Accession: 058383133

Download citation: RISBibTeXText

PMID: 25561641

DOI: 10.1377/hlthaff.2014.0599


Related references

Medicare legislation for hospice care: implications of national hospice study data. Health Affairs 2(2): 80-90, 1983

At least half of new Medicare advantage enrollees had switched from traditional Medicare during 2006-11. Health Affairs 34(1): 48-55, 2017

Health characteristics of Medicare traditional fee-for-service and Medicare Advantage enrollees: 1999-2004 National Health and Nutrition Examination Survey linked to 2007 Medicare data. National Health Statistics Reports 2012(53): 1-12, 2012

Influence of hospice on nursing home residents with advanced dementia who received Medicare-skilled nursing facility care near the end of life. Journal of the American Geriatrics Society 60(11): 2035-2041, 2013

Patient satisfaction among elderly enrollees and disenrollees in Medicare health maintenance organizations. Results from the National Medicare Competition Evaluation. JAMA 262(1): 57-63, 1989

Measuring hospice care: the National Hospice and Palliative Care Organization National Hospice Data Set. Journal of Pain and Symptom Management 28(4): 316-328, 2004

National quality monitoring of Medicare health plans: the relationship between enrollees' reports and the quality of clinical care. Medical Care 39(12): 1313-1325, 2001

Hospice agencies' hospital contract status and differing levels of hospice care. American Journal of Hospice and Palliative Care 32(3): 341-349, 2016

An update on efforts by the hospice community and the National Hospice Organization to improve access to quality hospice care. Hospice Journal 13(1-2): 139-144, 1998

Regulating and Paying for Hospice and Palliative Care: Reflections on the Medicare Hospice Benefit. Journal of Health Politics, Policy and Law 41(4): 697-716, 2018

Hospice F.O.R.U.M. Hospice care saves Medicare dollars by reducing hospitalization. Caring 20(10): 54-55, 2001

Racial differences in hospice use and patterns of care after enrollment in hospice among Medicare beneficiaries with heart failure. American Heart Journal 163(6): 987-993.E3, 2012

The intersection of the Medicare end-stage renal disease (ESRD) benefit and hospice: an overview for home care and hospice clinicians. Home Healthcare Nurse 29(8): 464-476, 2012

Regional variation in antibiotic prescribing among medicare part D enrollees, 2013. Bmc Infectious Diseases 16(1): 744, 2017

Trends in length of hospice care from 1996 to 2007 and the factors associated with length of hospice care in 2007: findings from the National Home and Hospice Care Surveys. American Journal of Hospice and Palliative Care 31(4): 356-364, 2015