Table 6. Average Medicare hospice benefit and conventional care reimbursement and net hospice savings per day using two assumptions, by assumed length of stay: Fiscal year 1985.
Assumed length of stay | Number1 of patients | Hospice reimbursement per day | Conventional care reimbursement per day2 | Net hospice savings3 |
---|---|---|---|---|
Assumption A4 | ||||
Total | 4,300 | 6103 | $100 | 0.97 |
1-5 days | 2,964 | 123 | 123 | 1.00 |
6-10 days | 2,830 | 116 | 115 | 0.99 |
11-15 days | 2,700 | 108 | 106 | 0.98 |
16-20 days | 2,541 | 101 | 98 | 0.97 |
21-25 days | 2,381 | 97 | 94 | 0.97 |
26-30 days | 2,251 | 94 | 90 | 0.96 |
31-45 days | 1,933 | 85 | 78 | 0.92 |
46-60 days | 1,674 | 78 | 72 | 0.92 |
61-90 days | 1,270 | 68 | 62 | 0.91 |
Assumption B5 | ||||
Total | 4,300 | 103 | 231 | 2.24 |
1-5 days | 2,964 | 123 | 521 | 4.24 |
6-20 days | 2,830 | 116 | 288 | 2.48 |
11-15 days | 2,700 | 108 | 210 | 1.94 |
16-20 days | 2,541 | 101 | 169 | 1.67 |
21-25 days | 2,381 | 97 | 144 | 1.48 |
26-30 days | 2,251 | 94 | 128 | 1.36 |
31-45 days | 1,933 | 85 | 101 | 1.19 |
46-60 days | 1,674 | 78 | 85 | 1.09 |
61-90 days | 1,270 | 68 | 68 | 1.00 |
The number of conventional care patients in each cohort declines because patients with first recorded cancer diagnoses later than particular windows were excluded from them.
Part A reimbursement for Medicare beneficiaries who had a primary diagnosis of cancer, died, and did not elect the Medicare hospice benefit.
Defined as dollars saved in conventional care reimbursement divided by dollars of hospice reimbursement.
The only “saved” regular Part A inpatient episodes were those entirely within the specified window and length of stay.
The “saved” regular Part A inpatient episodes include both those within the interval and those that begin before and end within the interval.
Weighted (by hospice beneficiaries) reimbursements per day and savings ratios.
SOURCE: (Abt Associates, Inc., 1987).