Featured Research

from universities, journals, and other organizations

Differences found in benefits, service at hospices based on tax status, study shows

Date:
February 24, 2014
Source:
The JAMA Network Journals
Summary:
The tax status of a hospice (for-profit vs. nonprofit) affects community benefits, the population served and community outreach. "Ownership-related differences are apparent among hospices in community benefits, population served and community outreach. Although Medicare's aggregate annual cap may curb the incentive to focus on long-stay hospice patients, additional regulatory measures such as public reporting of hospice disenrollment rates should be considered as the share of for-profit hospices in the United States continues to increase," the authors note.

The tax status of a hospice (for-profit vs. nonprofit) affects community benefits, the population served and community outreach.

The number of for-profit hospices has increased over the past two decades with about 51 percent of hospices being for-profit in 2011 compared with about 5 percent in 1990. But little is known about how for-profit and nonprofit hospices differ in activities beyond service delivery.

The authors examined the association between hospice profit status and the provision of community benefits (charity care, research and serving as training sites), populations served and community outreach in 591 Medicare-certified hospices around the country.

The authors found that compared to nonprofit hospices, for-profit hospics:

  • Were less likely to provide community benefits, including serving as training sites (55 percent vs. 82 percent), conducting research (18 percent vs. 23 percent) and providing charity care (80 percent vs. 82 percent)
  • Cared for a larger proportion of patients with longer expected hospice stays, including those in nursing homes (30 percent vs. 25 percent)
  • Had higher patient disenrollment rates (10 percent vs. 6 percent, patients who don't remain in hospice until their death)
  • Were more likely to exceed Medicare's aggregate annual cap, which is a regulatory measure to control hospice length of stay and constrain Medicare hospice expenditures, (22 percent vs. 4 percent)
  • Were more likely to do outreach to low-income communities (61 percent vs. 46 percent) and minority communities (59 percent to 48 percent), suggesting that the growth of the for-profit sector may increase the use of hospice by these groups and address disparities in hospice use.
  • Were less likely to partner with oncology centers (25 percent vs. 33 percent)

"Ownership-related differences are apparent among hospices in community benefits, population served and community outreach. Although Medicare's aggregate annual cap may curb the incentive to focus on long-stay hospice patients, additional regulatory measures such as public reporting of hospice disenrollment rates should be considered as the share of for-profit hospices in the United States continues to increase."


Story Source:

The above story is based on materials provided by The JAMA Network Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Melissa D. Aldridge, Mark Schlesinger, Colleen L. Barry, R. Sean Morrison, Ruth McCorkle, Rosemary Hόrzeler, Elizabeth H. Bradley. National Hospice Survey Results. JAMA Internal Medicine, 2014; DOI: 10.1001/jamainternmed.2014.3

Cite This Page:

The JAMA Network Journals. "Differences found in benefits, service at hospices based on tax status, study shows." ScienceDaily. ScienceDaily, 24 February 2014. <www.sciencedaily.com/releases/2014/02/140224171559.htm>.
The JAMA Network Journals. (2014, February 24). Differences found in benefits, service at hospices based on tax status, study shows. ScienceDaily. Retrieved August 28, 2014 from www.sciencedaily.com/releases/2014/02/140224171559.htm
The JAMA Network Journals. "Differences found in benefits, service at hospices based on tax status, study shows." ScienceDaily. www.sciencedaily.com/releases/2014/02/140224171559.htm (accessed August 28, 2014).

Share This




More Science & Society News

Thursday, August 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Free College Tuition to Break Cycle of Poverty

Free College Tuition to Break Cycle of Poverty

AP (Aug. 28, 2014) — Alvernia University is trying to help kids break the cycle of poverty in Reading, Pennsylvania, one of the nation's poorest cities, by offering them full scholarships along with intensive tutoring and mentoring. (Aug. 28) Video provided by AP
Powered by NewsLook.com
Uzi Shooting Spurs Debate Over Children Using Guns

Uzi Shooting Spurs Debate Over Children Using Guns

Newsy (Aug. 27, 2014) — A 9-year-old girl fatally shot her instructor after losing control of her Uzi at a firing range. Critics question why she had the gun to begin with. Video provided by Newsy
Powered by NewsLook.com
WHO Calls for Ban on E-Cigarette Sales to Minors

WHO Calls for Ban on E-Cigarette Sales to Minors

AFP (Aug. 26, 2014) — The World Health Organization called Tuesday on governments should ban the sale of e-cigarettes to minors, warning that they pose a "serious threat" to foetuses and young people. Duration: 01:44 Video provided by AFP
Powered by NewsLook.com
ICREACH: NSA Built A Google Of Americans' Info

ICREACH: NSA Built A Google Of Americans' Info

Newsy (Aug. 26, 2014) — The Intercept published an article Monday profiling what the online publication called NSA's very own Google of personal data. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins