Advance Care Planning Claims and Health Care Utilization Among Seriously Ill Patients Near the End of Life.

ABSTRACT: Importance:Although advance care planning is known to increase patient and caregiver satisfaction, its association with health care utilization is not well understood. Objective:To examine the association between billed advance care planning encounters and subsequent health care utilization among seriously ill patients. Design, Setting, and Participants:This retrospective cohort study conducted from October 1, 2015, to May 31, 2018, used a national commercial insurance claims database to retrieve data from 18 484 Medicare Advantage members 65 years or older who had a claim that contained a serious illness diagnosis. Exposure:A claim that contained an advance care planning billing code between October 1, 2016, and November 30, 2017. Main Outcomes and Measures:Receipt of intensive therapies,

SUBMITTER: Ashana DC 

PROVIDER: S-EPMC6827391 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature