Comparison of the Pathway to Hospice Enrollment Between Medicare Advantage and Traditional Medicare.

ABSTRACT:

Importance

Older adults in Medicare Advantage (MA) enroll in hospice at higher rates than those in traditional Medicare (TM), but it is unclear whether the pathway of care prior to hospice use differs between MA and TM.

Objective

To examine the site of care prior to hospice enrollment for MA beneficiaries compared with those in TM.

Design, setting, and participants

This population-based, retrospective cross-sectional study used Medicare claims data for decedents in calendar years 2011, 2013, 2016, and 2018 who enrolled in hospice in the last 90 days of life. Data were analyzed from February 11, 2022, to October 24, 2022.

Exposures

Enrollment in MA or TM in the last month of life.

Main outcomes and measures

The main outcome was the site of care prior to h

SUBMITTER: Ankuda CK 

PROVIDER: S-EPMC9938424 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature