Hospice 101

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Hospice 101
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Introduction

• Complex Patients Spurring
• Medicare Cost Growth
• Healthcare Costs at the End of Life
• In the last 6 months of life Poly-Physicians

3
The Hospice Philosophy
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Industry Trends

• Important Needs Going Unmet
• Palliative Care Teams Significantly Reduce
  Hospital Costs
• Late Referrals Undermine Hospice Value
• Hospice Extends Life

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Containing Costs

• Early engagement of hospice services lead to
  longer and better quality of life
• Hospice decreases Medicare expenditures
• End of Life Programs

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• 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

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Who pays for hospice care?

• Medicare 83.4
• Private insurance 8.6
• Medicaid 4.9
• What we pay for

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4 Levels of Care
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Who Qualifies

• Terminal dx with life expectancy of 6 months
• Multiple dx including cancer, COPD, sepsis,
  failure to thrive, dementia, ESHD, ESRD, heart
  failure

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Final Thoughts and Questions