Tag Archives: Medicare Hospice Benefit

Hospice Facts and Figures

Stats

The latest report from the National Hospice and Palliative Care Organization (NHPNO) offers important and meaningful statistics regarding hospice care in the United States. The most recent year for which full stats were available is 2013.

The average time that a patient was on hospice in 2013 is 72.6 days.

Among hospice patients in 2013, 34.5% were on hospice 7 days or less before death occurred. 14.3% were on hospice for 8-14 days. Another 12.7% were on hospice for 15-29 days. This means 61.5% received care for less than a month. (We presume that many of that 61.5% might have qualified for hospice sooner and received a more complete assortment of hospice services.)

66.6% of hospice patients were at home in 2013 when they passed away. That number is composed of 41.7% who were in private residences. 24.9% were in nursing homes or other residential facilities.

Approximately 84% of hospice patients in 2013 were age 65 or older. 41.2% were 85 or older.

Of those admitted to hospice in 2013, 36.5% had a cancer diagnosis. The majority, 63.5%, had non-cancer diagnoses. Those included dementia (15.2%), heart disease (13.4) and lung disease (9.9%).

Family evaluations of hospice care after their family member’s death included this positive result: 73.5% of those surveyed rated their family member’s care “excellent.”

According to NHCPO estimates, the number of hospice volunteers serving patients topped 355,000 during 2013. They provided approximately 16 million hours of volunteer service.

The Medicare hospice benefit covered 87.7% of hospice patients in the U.S. during 2013. Medicaid, managed care and private insurance covered 10.0%.

These cold, hard stats are useful but they cannot describe the warmth and compassion that most hospice employees and volunteers have for their patients and families. The numbers are impressive, but it is important to remember that, ultimately, hospice care is about quality rather than quantity.

For information about hospice care in metro St. Louis, please call Hope Hospice at 314-984-9800.

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Hospice Care: No Limits

Recent statistics gathered by the National Hospice and Palliative Care Organization (NHPCO) state that 1.65 million Americans are cared for by hospice organizations each year. The number continues to grow. Why? Because hospice provides the care Americans have said they want.

A Gallup poll has determined that 88% of Americans would prefer to die at home, free of pain, surrounded by loved ones. This is what hospice care makes possible. As a whole, our nation’s hospices appear to be doing a good job. 94% of Americans who’ve had family members in hospice rate the care received as good to excellent, according to NHPCO research.

One of the key messages that hospices nationwide are communicating to the public deals with the six-month time period. The major qualification for hospice care is a prognosis indicating that a patient has six months or less to live. But there is not a six-month limit on hospice service.

A patient may receive hospice care for as long as necessary when a physician certifies that he or she meets eligibility requirements.

Under the Medicare Hospice Benefit, two 90-day periods (six months) are followed by an unlimited number of 60-day periods.

Because there is the six-month prognosis requirement AND the initial enrollment period for hospice is also six months, there are misunderstandings. Some patients and family members may fear that if the patient does not die within the six-month period, the patient will be dismissed from hospice. But that is not the case.

Hospice patients do not have to worry about “using up” their hospice benefit.

Even though hospice care is becoming more popular in America and familiar to more Americans, the education process regarding hospice care is an ongoing effort. If there is an aspect of hospice care that is not quite clear to you and your family members, call us at Hope Hospice at 314-984-9800.

Hope Hospice provides hospice care to residents of St. Louis city and county, Jefferson county, St. Charles county and Franklin county.