Calls for Reform to the U.S. Hospice System

Noe, Kelly; Smith, Pamela; Younis, Mustafa
June 2012
Ageing International;Jun2012, Vol. 37 Issue 2, p228
Academic Journal
The purpose of this paper is to provide a historical perspective of the hospice system within the U.S. In addition, this paper discusses current trends within the U.S. hospice system and provides a platform for discussion about the future of the system in terms of policy standards. The more than 30 year history of hospice in the U.S. has experienced many changes. Originally organized as nonprofit entities, hospices became Medicare funded in the 1980's and has seen substantial growth in the number of for-profit entities. Hospice has moved from being seen as a 'place to go die' to being viewed as a viable option for long-term care near the end of life. Changes in the hospice payment system from a per diem reimbursement system and calls for quality measures are at the forefront of the current system and the major issues that the system faces in the future.


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