hospice 101. introduction complex patients spurring medicare cost growth healthcare costs at the end...

10
Hospice 101

Upload: lorraine-mills

Post on 28-Dec-2015

212 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

Hospice 101

Page 2: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

Introduction

Complex Patients SpurringMedicare Cost GrowthHealthcare Costs at the End of LifeIn the last 6 months of life – Poly-Physicians

Page 3: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

The Hospice Philosophy

Page 4: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

Industry Trends

Important Needs Going UnmetPalliative Care Teams Significantly Reduce

Hospital CostsLate Referrals Undermine Hospice ValueHospice Extends Life

Page 5: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

Containing Costs

Early engagement of hospice services lead to longer and better quality of life

Hospice decreases Medicare expendituresEnd of Life Programs

Page 6: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

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

Page 7: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

Who pays for hospice care?

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

Page 8: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

4 Levels of Care

Page 9: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

Who Qualifies

Terminal dx with life expectancy of 6 monthsMultiple dx including cancer, COPD, sepsis,

failure to thrive, dementia, ESHD, ESRD, heart failure

Page 10: Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

Final Thoughts and Questions