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The Continuing Evolution of Medicare Hospice Policy.

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Title: The Continuing Evolution of Medicare Hospice Policy.
Authors: Robinson, Chester A.1 (AUTHOR), Hoyer, Thomas2 (AUTHOR), Blackford, Carol2 (AUTHOR)
Source: Public Administration Review. Jan2007, Vol. 67 Issue 1, p127-134. 8p. 1 Chart, 2 Graphs.
Subject Terms: *Quality of life, Hospice care, Health services administration, Medicare, Public administration, Health policy, Terminal care facilities, Medical economics, Medical care research, Terminally ill, Death
Abstract: This case study traces the creation and evolution of Medicare hospice policy. The Medicare hospice benefit, created in 1982, emphasizes palliative rather than curative care. It focuses on quality of life for the dying patient and family and encompasses medical, psychological, and spiritual care. Because no standard hospice care practices existed before this benefit was implemented, Medicare rules almost exclusively dictated the structure and delivery of services. Despite initial concerns about low use, spending averaged 17 percent per year between 1991 and 2001, largely driven by increased enrollment, covered days, services provided, and inflation. A rich accumulation of research studies and analyses of specific aspects of the hospice program provides an opportunity for a retrospective analysis of the program’s genesis, impact on health care delivery, and implications for future policy decisions. [ABSTRACT FROM AUTHOR]
Copyright of Public Administration Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The Continuing Evolution of Medicare Hospice Policy.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Robinson%2C+Chester+A%2E%22">Robinson, Chester A.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hoyer%2C+Thomas%22">Hoyer, Thomas</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Blackford%2C+Carol%22">Blackford, Carol</searchLink><relatesTo>2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Public+Administration+Review%22">Public Administration Review</searchLink>. Jan2007, Vol. 67 Issue 1, p127-134. 8p. 1 Chart, 2 Graphs.
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  Data: *<searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Hospice+care%22">Hospice care</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+administration%22">Health services administration</searchLink><br /><searchLink fieldCode="DE" term="%22Medicare%22">Medicare</searchLink><br /><searchLink fieldCode="DE" term="%22Public+administration%22">Public administration</searchLink><br /><searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink><br /><searchLink fieldCode="DE" term="%22Terminal+care+facilities%22">Terminal care facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+economics%22">Medical economics</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+research%22">Medical care research</searchLink><br /><searchLink fieldCode="DE" term="%22Terminally+ill%22">Terminally ill</searchLink><br /><searchLink fieldCode="DE" term="%22Death%22">Death</searchLink>
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  Label: Abstract
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  Data: This case study traces the creation and evolution of Medicare hospice policy. The Medicare hospice benefit, created in 1982, emphasizes palliative rather than curative care. It focuses on quality of life for the dying patient and family and encompasses medical, psychological, and spiritual care. Because no standard hospice care practices existed before this benefit was implemented, Medicare rules almost exclusively dictated the structure and delivery of services. Despite initial concerns about low use, spending averaged 17 percent per year between 1991 and 2001, largely driven by increased enrollment, covered days, services provided, and inflation. A rich accumulation of research studies and analyses of specific aspects of the hospice program provides an opportunity for a retrospective analysis of the program’s genesis, impact on health care delivery, and implications for future policy decisions. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Public Administration Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/j.1540-6210.2006.00702.x
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Hospice care
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      – SubjectFull: Health services administration
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      – SubjectFull: Medicare
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      – SubjectFull: Terminal care facilities
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      – SubjectFull: Medical economics
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      – TitleFull: The Continuing Evolution of Medicare Hospice Policy.
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              Text: Jan2007
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