title: Review of Medicare's proposed hospice eligibility criteria for select noncancer patients.
abstract: Recent events have challenged our health system to increase access to and provide high quality care for patients near the end of life. Simultaneously, Medicare is developing review policies to determine eligibility for hospice patients with select noncancer diagnoses. The purpose of this study was to determine whether the proposed policies met one of their chief goals: accurate identification of patients with a less-than-six-months prognosis. Only 35 percent of 104 patients who died within six months of admission to the hospice used for this study, LifePath Hospice, met the Medicare proposed criteria for hospice eligibility. The median and mean survival time of the sample was 14 and 30 days respectively. Based on this review, it is recommended that Medicare alter their proposed review policies and not limit access to hospice eligible patients who desire and are in need of such services.
authors.affiliation: Department of Internal Medicine, University of South Florida College of Medicine, Tampa, USA.
authors.forename: R S
authors.initials: RS
authors.lastname: Schonwetter
authors.forename: S
authors.initials: S
authors.lastname: Soendker
authors.forename: V
authors.initials: V
authors.lastname: Perron
authors.forename: B
authors.initials: B
authors.lastname: Martin
authors.forename: B E
authors.initials: BE
authors.lastname: Robinson
authors.forename: A E
authors.initials: AE
authors.lastname: Thal
mesh_terms: D002908:Chronic Disease; D003953:Diagnosis-Related Groups / Q000145:classification; D004608:Eligibility Determination / Q000379:methods*; D006297:Health Services Accessibility / Q000592:standards*; D017051:Hospice Care / Q000706:statistics & numerical data*; D006801:Humans; D006278:Medicare / Q000458:organization & administration*; D016134:Organizational Policy; D018579:Patient Selection; D016019:Survival Analysis; D014481:United States