Table 2.

Advance Care Planning Claim Utilization by Provider Specialty and Role for Transgender, Dual-Eligible, and Fee-for-Service Medicare Beneficiaries

	Transgender		Dual eligible		FFS Medicare
	ACP claims	Rate per 10,000 claims	ACP claims	Rate per 10,000 claims	ACP claims	Rate per 10,000 claims
Provider specialty
Acute care	32	7.3	5065	4.7	11,649	6.0
General	340	17.1	119,957	21.1	410,823	23.7
Geriatric	10	39.8	3239	51.2	9042	66.5
Hospice and palliative care	18	518.7	4163	327.4	8807	339.8
Medical oncology	4	1.0	2037	2.8	8124	2.2
Psychiatry	0	0.0	97	0.2	159	0.4
Surgery	0	0.0	560	0.6	638	0.2
Other	164	1.9	49,376	2.3	123,211	1.9
Total claims	568	—	184,494	—	572,453	—
Unique beneficiaries with ACP	265	—	84,100	—	324,345	—
Provider role
MD	432	4.4	141,618	5.7	471,747	6.2
NP	117	20.9	36,721	22.7	86,555	28.2
PA	19	6.9	5025	7.2	10,986	5.5
CNS	0	0.0	514	15.2	1778	41.3
Other	0	0.0	616	0.2	1387	0.2
Total claims	568	—	184,494	—	572,453	—
Unique beneficiaries with ACP	265	—	84,100	—	324,345	—

CNS, clinical nurse specialist; MD, medical doctor; NP, nurse practitioner; PA, physician assistant.