Hospice Benefits | Treatment & Management | Point of Care (2024)

Back To Search Results

Author: Harrison R. Wermuth Editor: Prasanna Tadi

Updated: 10/17/2022 6:20:14 PM

Definition/Introduction

The underlying premise behind hospice care is to focus on the quality of care to patients who present with a life-limiting illness who are not expected to live more than six months instead of seeking treatment the prolong the condition or seek a medical cure. Hospice focuses on the entire person and supports the family by combining all elements of physical, psychological, and spiritual needs. The provision of hospice care can occur in an acute care setting; however, generally, the patients are cared for in a private residence or another residential living facility.[1]

Issues of Concern

Register For Free And Read The Full Article

Get the answers you need instantly with the StatPearls Clinical Decision Support tool. StatPearls spent the last decade developing the largest and most updated Point-of Care resource ever developed. Earn CME/CE by searching and reading articles.

  • Hospice Benefits | Treatment & Management | Point of Care (1) Search engine and full access to all medical articles
  • Hospice Benefits | Treatment & Management | Point of Care (2) 10 free questions in your specialty
  • Hospice Benefits | Treatment & Management | Point of Care (3) Free CME/CE Activities
  • Hospice Benefits | Treatment & Management | Point of Care (4) Free daily question in your email
  • Hospice Benefits | Treatment & Management | Point of Care (5) Save favorite articles to your dashboard
  • Hospice Benefits | Treatment & Management | Point of Care (6) Emails offering discounts

Learn more about a Subscription to StatPearls Point-of-Care

Already have an account? Log in

Issues of Concern

Candidates of Hospice

The ideal candidates for hospice are patients nearing their final weeks to months of their life and want to focus on comfort measures rather than life-prolonging treatments. Physicians should give strong consideration in making a hospice referral when chronically ill patients present with a decreased functional status, spend more than half their time in bed or a chair and exhibit physical and psychological distress. A referral is paramount when there is a progressive decline in the patient's condition; their highest priority is to feel more in control and remain at home with support to keep comfortable.[2]

Qualifying for Hospice Benefits

Patients over 65 years of age or individuals younger than 65 with a long-term disability will receive coverage through Medicare Part A benefits. If a patient is ineligible for Medicare hospice, benefit coverage will vary depending on the individual's health insurance coverage.[3]

Currently, Medicare hasfour major qualification criteria to cover hospice services:

  1. Eligible for Medicare Part A
    1. United States citizen/legal resident eligible for Social Security benefits
    2. Over 65 years of age or eligible for Medicare services due to long-term disability for greater than two years or having end-stage kidney disease
  2. Certification by Medicare as a recognized hospice facility
  3. Patient verification choosing hospice services instead of utilizing regular Medicare coverage
  4. Certification from both a physician and hospice medical director verifying the patient has received a diagnosis of a terminal illness, and in typical circ*mstances, without treatment to prolong the patient's disease, they are expected not to live more than six months[4]

Hospice Coverage

When a patient has a terminal condition, Medicare will provide hospice care, including comprehensive services related to a terminal illness. The array of benefits may include:

  1. Medical equipment
  2. Medical supplies
  3. Skilled nursing care
  4. Medications to aid in the terminal illness to provide comfort
  5. Social workers and chaplains
  6. Home health care aids
  7. Bereavement support
  8. Short term inpatient andrespite care[4]

Clinical Significance

Hospice provides patients with many benefits. Some of the benefits of hospiceinclude a 24-hour on-call nurse, increased availability to health care professionals, and reduced to no cost durable medical equipment and medications to increase comfort. Additionally, patients who chose to die at home with hospice care exhibited an improved quality of life; this was also true for their family members. Once patients and their families have acknowledged the seriousness and life-limiting nature of the underlying disease, discussionsregarding hospice as a care option should begin. Patients who have a prognosis of six months or less should be urged to enroll in hospice care so the family and patient can focus on improving their symptoms and increasing their comfort.

Unfortunately, acceding to hospice care is a difficult choice; once the patient and their family members accept the condition as a terminal illness, hospice care may be the best option. Hospice care provides the necessary support and cares to optimize the overall end-of-life patient and family experience when medications and treatments will no longer improve the patient’s condition.[5]

Nursing, Allied Health, and Interprofessional Team Interventions

Hospice care requires a highly coordinated interprofessional effort, including clinicians with specialized end-of-life training, specialty-trained hospice nurses, medical aids, and of course, the patient and their family.[6] A hospice agency coordinator (usually a nurse) can ensure that the patient derives maximum benefit from their insurance coverage and coordinate activities given the coverage available.[7] Only through this type of interprofessional teamwork can hospice care achieve its intended benefit for both the patient and their family members. [Level 5]

References

[1]

Blinderman CD,Billings JA, Comfort Care for Patients Dying in the Hospital. The New England journal of medicine. 2015 Dec 24; [PubMed PMID: 26699170]

", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B1)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(A2)"]').popover( { content: "A: Benefits outweigh the risks
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B2)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(A3)"]').popover( { content: "A: Benefits outweigh the risks
3: Low level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B3)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
3: Low level of evidence
", html: true, placement: "top", trigger:'hover' } ); });

[2]

Weinstein E,Kemmann M,Douglas SL,Daly B,Levitan N, Quality and cost outcomes of an integrated supportive care program. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2021 Aug 1; [PubMed PMID: 34333699]

Level 2 (mid-level) evidence

", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B1)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(A2)"]').popover( { content: "A: Benefits outweigh the risks
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B2)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(A3)"]').popover( { content: "A: Benefits outweigh the risks
3: Low level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B3)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
3: Low level of evidence
", html: true, placement: "top", trigger:'hover' } ); });

[3]

Kumar V,Ankuda CK,Aldridge MD,Husain M,Ornstein KA, Family Caregiving at the End of Life and Hospice Use: A National Study of Medicare Beneficiaries. Journal of the American Geriatrics Society. 2020 Oct; [PubMed PMID: 32602571]

", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B1)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(A2)"]').popover( { content: "A: Benefits outweigh the risks
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B2)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(A3)"]').popover( { content: "A: Benefits outweigh the risks
3: Low level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B3)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
3: Low level of evidence
", html: true, placement: "top", trigger:'hover' } ); });

[4]

Dyess SM,Prestia AS,Levene R,Gonzalez F, An Interdisciplinary Framework for Palliative and Hospice Education and Practice. Journal of holistic nursing : official journal of the American Holistic Nurses' Association. 2020 Jan 20; [PubMed PMID: 31955648]

", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B1)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(A2)"]').popover( { content: "A: Benefits outweigh the risks
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B2)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
2: Moderate level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(A3)"]').popover( { content: "A: Benefits outweigh the risks
3: Low level of evidence
", html: true, placement: "top", trigger:'hover' } ); $('a[refgrade*="(B3)"]').popover( { content: "B: Benefits and risk equivocal or uncertain
3: Low level of evidence
", html: true, placement: "top", trigger:'hover' } ); });

Hospice Benefits | Treatment & Management | Point of Care (2024)
Top Articles
Latest Posts
Article information

Author: Laurine Ryan

Last Updated:

Views: 6027

Rating: 4.7 / 5 (57 voted)

Reviews: 80% of readers found this page helpful

Author information

Name: Laurine Ryan

Birthday: 1994-12-23

Address: Suite 751 871 Lissette Throughway, West Kittie, NH 41603

Phone: +2366831109631

Job: Sales Producer

Hobby: Creative writing, Motor sports, Do it yourself, Skateboarding, Coffee roasting, Calligraphy, Stand-up comedy

Introduction: My name is Laurine Ryan, I am a adorable, fair, graceful, spotless, gorgeous, homely, cooperative person who loves writing and wants to share my knowledge and understanding with you.