Practice Billing for Medicare Advance Care Planning Across the USA.

ABSTRACT:

Background

Medicare introduced billing codes in 2016 to encourage clinicians to engage in advance care planning (ACP) and promote goal-concordantend-of-life care, but uptake has been modest. While prior research examined individual-level factors in ACP billing, organization-level factors associated with physician practices billing for ACP remain unknown.

Objective

Examine the role of practices in ACP billing.

Design

Retrospective cohort study analyzing 2016-2018 national Medicare data.

Participants

A total of 53,926 practices with at least 10 attributed Medicare beneficiaries.

Main measures

Outcomes were practice-level ACP billing (any use by the practice) and ACP use rate by practice-attributed beneficiaries. Practice characteristics were number of bene

SUBMITTER: Luth EA 

PROVIDER: S-EPMC9640523 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature