Association of hospice agency profit status with patient diagnosis, location of care, and length of stay

JAMA

Volumn 305, Issue 5, 2011, Pages 472-479

  Wachterman, Melissa W ^a   Marcantonio, Edward R ^a   Davis, Roger B ^a   McCarthy, Ellen P ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CANCER PATIENT; DEMENTIA; FEMALE; HEALTH SURVEY; HOSPICE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; NON PROFIT HOSPITAL; NURSE; NURSING HOME; NURSING HOME PERSONNEL; PRIORITY JOURNAL; PRIVATE HOSPITAL; PROFIT; SOCIAL WORKER;

EID: 79551607649     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2011.70     Document Type: Article

References (22)

1. NHPCO facts and figures: hospice care in America [2010 edition]. National Hospice and Palliative Care Organization. http://www.nhpco.org/files/public/ Statistics-Research/Hospice-Facts-Figures-Oct-2010.pdf. Accessed December 17, 2010.
2. Hackbarth GM. Reforming the delivery system: MedPAC report to Congress [June 2008]. http://www.medpac.gov/documents/Jun08-EntireReport.pdf. Accessed January 10, 2011.
3. Hospice facts and statistics [September 2009]. National Association for Home Care & Hospice. http://www.nahc.org/facts/HospiceStats09.pdf. Accessed October 10, 2010.
4. Huskamp HA, Buntin MB, Wang V, Newhouse JP. Providing care at the end of life: do Medicare rules impede good care? Health Aff (Millwood). 2001; 20(3):204-211.
5. Gruneir A, Miller SC, Lapane KL, Kinzbrunner B. Hospice care in the nursing home: changes in visit volume from enrollment to discharge among longer-stay residents. J Pain Symptom Manage. 2006; 32(5):478-487.
6. Carney K, Burns N, Brobst B. Hospice costs and Medicare reimbursement: an application of breakeven analysis. Nurs Econ. 1989;7(1):41-48.
7. Nicosia N, Reardon E, Lorenz K, Lynn J, Buntin MB. The Medicare hospice payment system: a consideration of potential refinements. Health Care Financ Rev. 2009;30(4):47-59.
8. Fitch K, Pyenson B. First and Last Days of Hospice Cost More: an Actuarial Evaluation of Hospice Benefits Provided to Medicare Beneficiaries. New York, NY: Milliman USA; 2003.
9. Cheung L, Fitch K, Pyenson B. The Costs of Hospice Care: an Actuarial Evaluation of the Medicare Hospice Benefit. New York, NY: Milliman USA; 2001.
10. Lindrooth RC, Weisbrod BA. Do religious non-profit and for-profit organizations respond differently to financial incentives? the hospice industry. J Health Econ. 2007;26(2):342-357.
11. Lorenz KA, Ettner SL, Rosenfeld KE, Carlisle DM, Leake B, Asch SM. Cash and compassion: profit status and the delivery of hospice services. J Palliat Med. 2002;5(4):507-514.
12. National Home and Hospice Care Survey. Centers for Disease Control and Prevention. http://www.cdc.gov/nchs/nhhcs.htm. Accessed October 8, 2010.
13. National Home and Hospice Care Survey: survey methodology and documentation. http://www.cdc.gov/nchs/data/nhhcsd/NHHCS-NHHAS-web- documentation.pdf. Accessed October 8, 2010.
14. Christakis NA, Escarce JJ. Survival of Medicare patients after enrollment in hospice programs. N Engl J Med. 1996;335(3):172-178.
15. Campbell DE, Lynn J, Louis TA, Shugarman LR. Medicare program expenditures associated with hospice use. Ann Intern Med. 2004;140(4):269-277.
16. Hackbarth GM. Increasing the value of Medicare. http://www.medpac.gov/ documents/jun06-entirereport.pdf. Accessed October 10, 2010.
17. O'Neill SM, Ettner SL, Lorenz KA. Paying the price at the end of life: a consideration of factors that affect the profitability of hospice. J Palliat Med. 2008; 11(7):1002-1008.
18. Carlson MD, Gallo WT, Bradley EH. Ownership status and patterns of care in hospice: results from the National Home and Hospice Care Survey. Med Care. 2004;42(5):432-438.
19. Lynn J, Harrell F Jr, Cohn F, Wagner D, Connors AF Jr. Prognoses of seriously ill hospitalized patients on the days before death: implications for patient care and public policy. New Horiz. 1997;5(1):56-61.
20. Lynn J, Harrell FE, Cohn F, Hamel M, Dawson N, Wu AW. Defining the "terminally ill": insights from SUPPORT. Duquesne Law Rev. 1996;35(1):311-336.
21. Christakis NA. Predicting patient survival before and after hospice enrollment. Hosp J. 1998;13 (1-2):71-87.
22. Fox E, Landrum-McNiff K, Zhong Z, Dawson NV, Wu AW, Lynn J; SUPPORT Investigators. Evaluation of prognostic criteria for determining hospice eligibility in patients with advanced lung, heart, or liver disease: Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. JAMA. 1999;282(17):1638-1645.