Using the National Home and Hospice Care Surveys, we examined trends in length of hospice care from 1996 to 2007 and the factors associated with length of care in 2007. Results suggest that the increasing average lengths of care over time reflect the increase in the longest duration of care. For-profit ownership is associated with hospice care received for over a year.
CaffreyCSenguptaMMossAHarris-KojetinLValverdeR.Home health care and discharged hospice care patients: United States, 2000 and 2007. National Health Statistics Reports. 2011; 38. Hyattsville, MD: National Center for Health Statistics. 2011:38.
Medicare Payment Advisory Commission (MedPAC). Report to the Congress: Medicare Payment Policy. Washington, DC: MedPAC; 2009.
5.
Park-LeeEYDeckerFH.Comparison of home and hospice care agencies by organizational characteristics and services provided: United States, 2007. Natl Health Stat Report. 2010;(30):1–23.
6.
Medicare Payment Advisory Commission (MedPAC). Report to the Congress: Reforming the Delivery System. Washington, DC: MedPAC; 2008.
Medicare Payment Advisory Commission (MedPAC). Report to the Congress: Medicare Payment Policy. Washington, DC: MedPAC; 2012.
9.
IwashynaTChristakisN. Attitude and self-reported practice regarding hospice referral in a national sample of internists. J Palliat Med. 1998;1(3):241–248.
10.
TaylorDHJrOstermannJVan HoutvenCHTulskyJASteinhauserK. What length of hospice use maximizes reduction in medical expenditures near death in the US Medicare program?Soc Sci Med. 2007;65(7):1466–1478.
11.
Medicare Payment Advisory Commission (MedPAC). Report to the Congress: Medicare Payment Policy. Washington, DC: MedPAC; 2011.
12.
LindroothRCWeisbrodBA. Do religious nonprofit and for-profit organizations respond differently to financial incentives? The hospice industry. J Health Econ. 2007;26(2):342–357.
13.
WachtermanMMarcantonioEDavisRMcCarthyE. Association of hospice agency profit status with patient diagnosis, location of care, length of stay. JAMA. 2011;305(5):472–479.
14.
LorenzKAEttnerSLRosenfeldKECarlisleDMLeakeBAschSM. Cash and compassion: profit status and the delivery of hospice services. J Palliat Med. 2002;5(4):507–514.
15.
HuskampHAStevensonDGrabowskiDBrennanEKeatingN.Long and short hospice stays among nursing home residents at the end of life. J Palliat Med. 2010;13(8):957–964.
16.
MillerSCMorVTenoJ. Hospice enrollment and pain assessment and management in nursing homes. J Pain Symptom Manage. 2003;26(3):791–799.
17.
HanBRemsburgREMcAuleyWJKeayTJTravisSS. Length of hospice care among U.S. adults: 1992-2000. Inquiry. 2007;44(1):104–113.
18.
SomovaMJSomovPGLawrenceJCFrantzTT. Factors associated with length of stay in a mid-sized, urban hospice. Am J Hosp Palliat Care. 2000;17(2):99–105.
19.
JohnsonKSKuchibhatlaMTulskyJA. Racial differences in location before hospice enrollment and association with hospice length of stay. J Am Geriatr Soc. 2011;59(4):732–737.
20.
SirkenMGShimizuBIFrenchDKBrockDB. Manual on Standards and Procedures for Reviewing Statistical Reports.Washington, DC: National Center for Health Statistics; 1992.
21.
Research Triangle Institute. SUDANN (Release 10.0.1). Durham, NC: Research Triangle Park; 2012.
22.
Government Accountability Office (GAO). Medicare Hospice Care: Modifications to payment methodology may be warranted. Report to Committee on Finance, U.S. Senate, and the Committee on Ways and Means, U.S. House of Representatives. 2004. http://www.gao.gov/new.items/d0542.pdf. Accessed September 20, 2012.
CheungLFKPyensonB.The costs of hospice care: an actuarial evaluation of the Medicare hospice benefit. New York, NY: Milliman USA; 2001.
25.
FitchKPyensonB.First and last days of hospice cost more: an actuarial evaluation of hospice benefits provided to Medicare beneficiaries. New York, NY: Milliman USA; 2003.
26.
CarneyKBurnsNBrobstB. Hospice costs and Medicare reimbursement: an application of break-even analysis. Nurs Econ. 1989;7(1):41–48.
