Table 2.

Cumulative Annual Claim Rates of Advance Care Planning Visits, by Provider Characteristic, 2016–2018

Characteristic	2016	2016–2017			2016–2018
	Total ACP claims	Rate per 10,000 claim lines	Total ACP claims	Rate per 10,000 claim lines	Total ACP claims	Rate per 10,000 claim lines	Change in claims rate
Specialty
Acute carea	5066	1.2	19,661	3.1	41,319	5.5	344
Generalb	11,4728	7.1	290,768	10.5	522,454	15.1	111
Geriatric	3659	17.7	9016	25.2	15,640	36.3	105
Hospice/palliative	2743	55.6	7796	93.1	15,552	157.4	183
Medical oncology	2499	0.9	7349	1.5	10,896	1.8	112
Surgery	470	0.4	934	0.5	1241	0.5	29
Other	29,287	0.6	85,531	1.0	172,692	1.6	167
p-Value		<0.0001		<0.0001		<0.0001
Role
Clinical nurse specialist	400	6.5	1132	10.2	2267	16.8	158
Physician	136,614	2.3	354,675	3.5	642,368	5.1	123
Nurse practitioner	18,415	5.7	56,104	9.4	115,398	15.2	166
Physician assistant	2321	1.3	7337	2.3	9084	4.0	202
Other	702	0.1	1807	0.1	10,677	0.2	113
p-Value		<0.0001		<0.0001		<0.0001

^aAcute care includes hospitalists and emergency medicine.

^bGeneral includes family medicine, general practice, internal medicine, and internal medicine specialties.

ACP, advance care planning.