Timing and setting of billed advance care planning among Medicare decedents in 2017-2019.

ABSTRACT:

Background

The Centers for Medicare & Medicaid Services (CMS) began to reimburse clinicians for advance care planning (ACP) discussions, effective January 1, 2016. We sought to characterize the timing and setting of first-billed ACP discussions among Medicare decedents to inform future research on ACP billing codes.

Methods

Using a random 20% sample of Medicare fee-for-service beneficiaries aged 66 years and older who died in 2017-2019, we described the timing (relative to death) and setting (inpatient, nursing home, office, or outpatient with or without Medicare Annual Wellness Visit [AWV], home or community, or elsewhere) of the first-billed ACP discussion for each beneficiary.

Results

Our study included 695,985 decedents (mean [SD] years of age, 83.2 [8.8]; 54.2% f

SUBMITTER: Gotanda H 

PROVIDER: S-EPMC10592584 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature