Shannon Griffin, MPP; Juliette Cubanski, PhD; Tricia Neuman, ScD; et
alAnne Jankiewicz; David Rousseau, MPH;
for the Kaiser Family Foundation
JAMA. 2016;316(17):1754.
doi:10.1001/jama.2016.15577
This
Visualizing Health Policy infographic provides a snapshot of Medicare and
end-of-life care. Of 2.6 million total deaths in the United States in 2014, 2.1
million were among Medicare beneficiaries. Although Medicare spent
significantly more on care for people at the end of life who died in 2014
($34 529 per person) than for other beneficiaries that year ($9121 per person),
the share of total Medicare spending for people at the end of life decreased
from 18.6% to 13.5% between 2000 and 2014. Medicare spending for people at the
end of life also decreased with age. Hospice use among Medicare beneficiaries
at the end of life increased between 2000 and 2014 to nearly half (46%) of all
beneficiaries. Medicare spending on hospice also increased during that period,
from $2.3 billion to $10.4 billion. Surveys show that more than 7 in 10 people
aged 65 years and older have not discussed end-of-life care with a physician
and that 4 in 10 have not documented their end-of-life care wishes. Before
January 1, 2016, Medicare did not reimburse physicians for patient visits to
discuss end-of-life care, and as of 2016, 68% of physicians report that they
have not received training for such discussions.
Source: Kaiser Family Foundation analysis. Original data and
detailed source information are available at http://kff.org/JAMA_11-01-2016.
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