Association of Billed Advance Care Planning with End-of-Life Care Intensity for 2017 Medicare Decedents.

ABSTRACT:

Background/objective

The Centers for Medicare & Medicaid Services (CMS) reimburses clinicians for advance care planning (ACP) discussions with Medicare patients. The objective of the study was to examine the association of CMS-billed ACP visits with end-of-life (EOL) healthcare utilization.

Design

Patient-level analyses of claims for the random 20% Medicare fee-for-service (FFS) sample of decedents in 2017. To account for multiple comparisons, Bonferroni adjusted P value <.008 was considered statistically significant.

Setting

Nationally representative sample of Medicare FFS beneficiaries.

Participants

A total of 237,989 Medicare FFS beneficiaries who died in 2017 and included those with and without a billed ACP visit during 2016-17.

Intervention

The key

SUBMITTER: Gupta A 

PROVIDER: S-EPMC8559724 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature