Medicare policy changes tied to drop in hospice use for dementia

Recent changes in Medicare policies are related to a reduction in the proportion of patients with Alzheimer’s disease and related relapses (ADRD) who receive clinical care, according to a study published online May 6 in JAMA Health Center.

On Z. Gianattasio, MPP, from George Washington University School of Public Health at Milken University in Washington, DC, and colleagues examined whether clinical use among patients with ADRD changed with recent policies aim to reduce hospital misuse and long vacations in a hospital. cross-examination of observations. Data were collected for 11,124,992 hospital specialists between 2008 and 2019 among Medicare hospital beneficiaries aged 65 or over at the time of enrollment.

The researchers found that during the 2014 Improvement Health Care Change (IMPACT) implementation, the number of new registrants with the ADRD number decreased significantly (-1.42 and -1.98 points, respectively) but increased again. . in the coming months. During the implementation of the 2016 dual payment system, there were no significant changes (0.15 points), but the average increase in the following period decreased over the previous period (0.01 points and 0.05 points per month). ). .

“We have found evidence to suggest that recent Medicare policies have changed the focus on patients with dementia. hospital care is associated with a persistent reduction in the proportion patients accept hospital care enter ADRD code compared to expectations based on the implementation process, ”the authors wrote.

One author describes the financial relationship with Biogen.

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