Cost Savings Vary by Length of Stay for Inpatients Receiving Palliative Care Consultation Services | Abstract

Conclusion: Cost savings due to PC are realized for short and medium LOS but not stays >30 days. These findings suggest savings can be achieved by earlier involvement of palliative care, and support screening efforts to identify patients who can benefit from PC services early in an admission.

via Cost Savings Vary by Length of Stay for Inpatients Receiving Palliative Care Consultation Services | Abstract.

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Comparison of peripherally inserted central venous catheters (PICC) versus subcutaneously implanted port-chamber catheters by complication and cost for patients receiving chemotherapy for non-haematological malignancies – Online First – Springer

Port devices are associated with a lower risk of complications, with no difference in cost, compared to PICC lines in patients with non-haematological malignancies receiving intravenous chemotherapy.

via Comparison of peripherally inserted central venous catheters (PICC) versus subcutaneously implanted port-chamber catheters by complication and cost for patients receiving chemotherapy for non-haematological malignancies – Online First – Springer.

OIG Recommends More Hospice Surveys — blog.weatherbee.net

The OIG continues to recommend that CMS increase the frequency of hospice recertification surveys.  On August 29, 2013 the OIG published a new hospice report  (OEI-06-13-00130) entitled the Frequency of Medicare Certification Surveys is Unimproved.

via OIG Recommends More Hospice Surveys — blog.weatherbee.net.

Deciding When to Enter a Palliative Care Unit – NYTimes.com

It’s a tough situation: you have a fatal condition. You require care beyond what family members can provide at home. But with a prognosis of more than six months to live, you are not ready for hospice care.

via Deciding When to Enter a Palliative Care Unit – NYTimes.com.

Putting Seniors In The Hospital Under ‘Observation’ May Cost Them Thousands – Kaiser Health News

Many seniors think Medicare made a mistake when they find out they were never officially admitted to the hospital despite a several-day stay.

via Putting Seniors In The Hospital Under ‘Observation’ May Cost Them Thousands – Kaiser Health News.

Why hospice is special to me

My friends envy the extended visits I have with patients where I learn about their family and friends and, by doing so, also learn about their goals and fears. The time I am permitted to invest in my patients allows me to find out who the person is and then work to match the medicine to their needs.

via Why hospice is special to me.

Federal Register | Medicare Program; FY 2014 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Updates on Payment Reform

This final rule updates the hospice payment rates and the wage index for fiscal year (FY) 2014, and continues the phase out of the wage index budget neutrality adjustment factor (BNAF).

via Federal Register | Medicare Program; FY 2014 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Updates on Payment Reform.

Affordability of cancer treatment for aging cancer patients in Singapore: an analysis of health, lifestyle, and financial burden – Online First – Springer

Although aging cancer patients feel that the financial schemes in Singapore have helped them tremendously, the general perception is that they require further help to offset their out-of-pocket expenses. This is especially true for users of targeted therapies and those who have a poorer health status.

via Affordability of cancer treatment for aging cancer patients in Singapore: an analysis of health, lifestyle, and financial burden – Online First – Springer.

Losing independence – the lived experience of being long-term sick-listed – Springer

Sick-listed persons experienced the process of being on long-term sickness absent as very negative. The negative experiences are linked to consequences of stopping to work, consequences of social insurance rules and to negative encounters with professionals handling the sickness absence. The positive experiences of being sick-listed were few in the present study.

via Losing independence – the lived experience of being long-term sick-listed – Springer.

Service Use at the End-of-Life in Medicare Advantage Versus… : Medical Care

Relative to comparable TM decedents in the same local areas, MA-HMO decedents more frequently enrolled in hospice and used fewer inpatient and emergency department services, demonstrating that MA plans provide less end-of-life care in hospital settings.

via Service Use at the End-of-Life in Medicare Advantage Versus… : Medical Care.