Chronic Illness, Death, and Medicare

Medicare and Chronic Illness Death

End-of-Life Care Facts

According to the Dartmouth Atlas of Health Care, below are some important end-of-life-care facts:

  • More than 90 million Americans live with at least one chronic illness.
  • Seven out of ten Americans die from chronic disease.
  • Among the Medicare population, the toll is even greater.
  • Patients with chronic illness in their last two years of life account for about 32% of total Medicare spending, much of it going toward physician and hospital fees associated with repeated hospitalizations.
  • About nine out of ten deaths are associated with just nine chronic illnesses, including:

 

1.  Congestive heart failure

2.  Chronic lung disease

3.  Cancer

4.  Coronary artery disease

5.  Renal failure

6.  Peripheral vascular disease

7.  Diabetes

8.  Chronic liver disease

9.  Dementia

What do patients want at the end of life?

Do they want their physicians to do everything possible to extend life? Do they want more time in the hospital? If additional treatments offer little possibility of benefit, do they want more invasive care? Research suggests that the care they get is not necessarily the care they want.

To read more about these end-of-life care facts at the Dartmouth Atlas of Health Care, click here

By |January 25th, 2015|Categories: Chronic Illness, Chronic Illness Death, Death, end of life, End-of-Life Care Facts, End-of-Life-Care, Medicare|Tags: , , , , , |Comments Off on Chronic Illness, Death, and Medicare

Are Your End-Of-Life Care Wishes Clear

End-of-Life Care

Are Your End-of-Life Care Wishes Clear?

As acceptance of end-of-life planning grows in the U.S., new concerns are emerging about how well patients and their doctors understand the forms they are signing about the care they want in their final days.

In September, the Institute of Medicine’s “Dying in America” report called for a national effort to improve medical and social services for end-of-life care, both to improve quality of life and to help reduce the outsize costs of unwanted care at the end of life.

Some health plans are reimbursing doctors who help with advance care planning, and the federal government is weighing doing the same for doctors who talk to Medicare patients about options. A growing number of states are starting programs known as Physician Orders for Life Sustaining Treatment, or Polst, a form offered to patients who might die within a year so they can document their wishes in a medical record, signed by the doctor.

Read more of Laura Landro‘s article in the Wall Street Journal by clicking here.

By |December 14th, 2014|Categories: Advance Care Planning, Advance Directive, Advance Directives, end of life, end-of-life planning, End-of-Life-Care|Tags: , , , , , |Comments Off on Are Your End-Of-Life Care Wishes Clear