Performance Improvement 2009. How Do Medicare Hospice Patients in Nursing Facilities and Other Settings Compare?


This study was analyzed data from Medicare Part A hospice claims, the Minimum Data Set, and the Online Survey Certification and Reporting System. The Medicare hospice benefit allows a beneficiary with a terminal illness to forgo curative treatment for the illness and instead receive palliative care, which is the relief of pain and other uncomfortable symptoms.

Hospice beneficiaries in nursing facilities were more than twice as likely as beneficiaries in other settings to have had a terminal diagnosis of an ill-defined condition, a mental disorder, or Alzheimer’s disease. On average, beneficiaries in nursing facilities spent more time in hospice care and were associated with higher Medicare reimbursements for hospice care than beneficiaries in other settings.

Report Title: Medicare Hospice Care: A Comparison of Beneficiaries in Nursing Facilities and Beneficiaries in Other Settings
Agency Sponsor: OS-OIG, Office of Inspector General
Federal Contact: Erin Lemire, 202-205-9523
Performer: Staff; Office of Inspector General
PIC ID: 8982

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"PerformanceImprovement2009.pdf" (pdf, 1.26Mb)

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