Hospice 101

1. Hospice 101

2. 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

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

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

6. 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

7. Who pays for hospice care? • Medicare 83.4% • Private insurance 8.6% • Medicaid 4.9% • What we pay for

8. 4 Levels of Care

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

10. Final Thoughts and Questions