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Hospice to cost Medicare $6 billion in 2005...
Rural hospices get $23 million boost
from Medicare payment change


Aug. 27, 2004 – A change in the way payments are determined for hospice care will results in Medicare payments to rural hospices increasing $23 million in 2005, a 2.9 percent increase over 2004. The overall projected increase for all hospice providers is $60 million dollars, an increase of 1 percent.

 

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Rural Hospices receive grants...A change in the way payments are determined for hospice care will results in ... The overall projected increase for all hospice providers is $60 million

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The rich die differently from you and me Currently, hospice treatment is covered only for those whose physicians certify to have less than six months to live...

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New Review Article Examines Phenomenon of Unexpected Death ...Study notes the results from a 12-month structured program of psychological support, including support groups, provided for bereaved spouses by hospice...

Hospice helps, but doctors often
don’t recommend it soon enough
.
..
The hospice philosophy of end-of-life care emphasizes the right to die with dignity and without pain. The role of hospice is to provide care to the dying and support for their families and caregivers.

Hospice care was added as a benefit under the Medicare program in 1983 and under Medicaid in 1985. In 2005, hospice services are expected to account for $6 billion in Medicare payments.

Information on Hospice

Below are a few web sites that have frequently asked questions and other information about hospice care. These web sites are not all-inclusive, but are a sampling of what can be found.:

Centers for Medicare & Medicaid Services (CMS) has a publication titled "Medicare Hospice Benefits." Other Medicare publications can be found on the following website: http://www.medicare.gov/Publications/

For a description of hospice, see "What is Hospice?" at the Hospice Foundation of America website (http://www.hospicefoundation.org). It includes a variety of meanings for the word hospice.

Hospice Net has several frequently asked questions as well as, "What Questions Should I ask about Hospice Care?" For additional information, go to: http://www.hospicenet.org .

National Hospice and Palliative Care Organization's website (http://www.nho.org ) has frequently asked questions, as well as the answer to the question, "What is Hospice and Palliative Care?"

The End of Life Planning Information Guide provides assistance on planning and decision making.

“As a result of improvements in how payments are calculated, Medicare payments for hospice services in rural areas will more accurately reflect costs,” said Dr. Mark B. McClellan, Administrator of the Centers for Medicare & Medicaid Services. “Thousands of beneficiaries and their families can be comforted that Medicare will help with the high costs of this care.”

“For millions of Medicare beneficiaries and their families, reliable, high-quality hospice care means they can spend their final days in the comfort of their own homes, especially in underserved areas of the country,” Dr. McClellan. “This payment increase helps ensure that beneficiaries in rural areas have access to the quality hospice services that they need.”

Hospice care is covered under the Medicare Hospital Insurance program and is available to all beneficiaries enrolled in Medicare Part A. To be eligible, their physician and the hospice medical director must certify that they are terminally ill, with six months or less to live if their illness runs its normal course. When a beneficiary elects the hospice benefit, they are accepting palliative care geared towards physical, emotional, spiritual and psychological comfort for their terminal illness instead of the curative model of care.

Beneficiaries can receive hospice services wherever they reside, be it at home, a nursing home, a hospital, or other facility or setting where the patient resides. Once in hospice, they may also continue to have Medicare coverage for treatment of other problems not related to their terminal illness.

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