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Advising the Congress on Medicare issues
MedPAC > Recommendations > Reforming Medicare’s hospice benefit (2B)

Reforming Medicare’s hospice benefit (2B)

February 26, 2009

The Secretary should direct the Office of Inspector General to investigate:
* The prevalence of financial relationships between hospices and long-term care facilities such as nursing facilities and assisted living facilities that may represent a conflict of interest and influence admissions to hospice,
* Differences in patterns of nursing home referrals to hospice,
* The appropriateness of enrollment practices for hospices with unusual utilization patterns (e.g., high frequency of very long stays, very short stays, or enrollment of patients discharged from other hospices), and
* The appropriateness of hospice marketing materials and other admissions practices and potential correlations between length of stay and deficiencies in marketing or admissions practices.

Appeared in: March 2009 - Chapter 6

Topics: Post-acute care.