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10.1377/hlthaff.2014.0599

http://scihub22266oqcxt.onion/10.1377/hlthaff.2014.0599
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C4840884!4840884!25561641
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suck abstract from ncbi


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pmid25561641      Health+Aff+(Millwood) 2015 ; 34 (1): 30-8
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  • Nearly Half Of All Medicare Hospice Enrollees Received Care From Agencies Owned By Regional Or National Chains #MMPMID25561641
  • Stevenson DG; Dalton JB; Grabowski DC; Huskamp HA
  • Health Aff (Millwood) 2015[Jan]; 34 (1): 30-8 PMID25561641show ga
  • To date, analyses of ownership in the US hospice sector have focused on the growth of for-profit hospice and on aggregate differences in patient populations and service use patterns between for-profit and not-for-profit agencies. Although such comparisons are useful, they do not offer insights about the types of organizations that comprise the hospice sector, including the emergence of multi-agency chains. Using Medicare Cost Reports from 2000 to 2011, we track the evolution of the US hospice industry, not only to describe the market's composition by profit status but also to provide new information about the roles of regional and national chains. Almost half of all Medicare hospice enrollees received these services from a multi-agency chain in 2011. Although a handful of companies play a prominent role, the presence of smaller for-profit and not-for-profit hospice chains also has grown in recent years. By focusing on the role of the diverse organizations that provide hospice care, our analyses can help inform efforts to monitor and assure quality of care, to assess payment adequacy and options for reform, and to facilitate greater transparency and accountability within the hospice marketplace.



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