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dc.contributor.authorHughes, M. Courtney, 1976--en_US
dc.contributor.authorVernon, Erin, 1975--en_US
dc.date.accessioned2019-09-03T16:03:46Z
dc.date.available2019-09-03T16:03:46Z
dc.date.issued2019-06
dc.identifier.citationHughes, M. C., & Vernon, E. (2019). Closing the Gap in Hospice Utilization for the Minority Medicare Population. Gerontology and Geriatric Medicine, 5en_US
dc.identifier.otherhttp://dx.doi.org/10.1177/2333721419855667
dc.identifier.urihttps://commons.lib.niu.edu/handle/10843/20299
dc.description.abstractBackground: Medicare spends about 20% more on the last year of life for Black and Hispanic people than White people. With lower hospice utilization rates, racial/ethnic minorities receive fewer hospice-related benefits such as lesser symptoms, lower costs, and improved quality of life. For-profit hospices have higher dropout rates than nonprofit hospices, yet target racial/ethnic minority communities more through community outreach. This analysis examined the relationship between hospice utilization and for-profit hospice status and conducted an economic analysis of racial/ethnic minority utilization. Method: Cross-sectional analysis of 2014 Centers for Medicare & Medicaid Services (CMS), U.S. Census, and Hospice Analytics data. Measures included Medicare racial/ ethnic minority hospice utilization, for-profit hospice status, estimated cost savings, and several demographic and socioeconomic variables. Results: The prevalence of for-profit hospices was associated with significantly increased hospice utilization among racial/ethnic minorities. With savings of about $2,105 per Medicare hospice enrollee, closing the gap between the White and racial/ethnic minority populations would result in nearly $270 million in annual cost savings. Discussion: Significant disparities in hospice use related to hospice for-profit status exist among the racial/ethnic minority Medicare population. CMS and state policymakers should consider lower racial/ethnic minority hospice utilization and foster better community outreach at all hospices to decrease patient costs and improve quality of life.en_US
dc.language.isoen_USen_US
dc.publisherSAGEen_US
dc.rightsOpen-Access journal "Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits noncommercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage)."en_US
dc.subjecthealth care disparityen_US
dc.subjectrace / ethnicityen_US
dc.subjectMedicaid / Medicareen_US
dc.subjecthospiceen_US
dc.titleClosing the Gap in Hospice Utilization for the Minority Medicare Populationen_US
dc.type.genreArticleen_US
dc.typeTexten_US
dc.contributor.departmentSchool of Nursing and Health Studiesen_US
dc.rights.statementIn Copyrighten_US


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