Effect of Hospice Use on Costs of Care for Long-Stay Nursing Home Decedents

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives To analyze the costs for long-stay (>90 days) nursing home (NH) decedents with and without hospice care. Design Retrospective cohort study using a 1999-2009 data set of linked Medicare and Medicaid claims and minimum data set (MDS) assessments. Setting Indiana NHs. Participants Long-stay NH decedents (N = 2,510). Measurements Medicare costs were calculated for 2, 7, 14, 30, 90, and 180 days before death; Medicaid costs were calculated for dual-eligible beneficiaries. Total costs and costs for hospice, NH, and inpatient care are reported. Results Of 2,510 long-stay NH decedents, 35% received hospice. Mean length of hospice was 103 days (median 34 days). Hospice users were more likely to have cancer (P

Original languageEnglish (US)
Pages (from-to)723-730
Number of pages8
JournalJournal of the American Geriatrics Society
Volume64
Issue number4
DOIs
StatePublished - Apr 1 2016

Fingerprint

Hospices
Nursing Homes
Costs and Cost Analysis
Medicaid
Medicare
Hospice and Palliative Care Nursing
Hospice Care
Home Care Services
Inpatients
Cohort Studies
Retrospective Studies
Neoplasms

Keywords

  • costs
  • hospice
  • nursing home

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Effect of Hospice Use on Costs of Care for Long-Stay Nursing Home Decedents. / Unroe, Kathleen; Sachs, Greg; Dennis, M. E.; Hickman, Susan; Stump, Timothy E.; Tu, Wanzhu; Callahan, Christopher.

In: Journal of the American Geriatrics Society, Vol. 64, No. 4, 01.04.2016, p. 723-730.

Research output: Contribution to journalArticle

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