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Hospice Tax Status and Ownership Matters for Patients and Families

Hospice Tax Status and Ownership Matters for Patients and Families Letters 4 4,5 Invited Commentary | HEALTH CARE POLICY AND LAW lower-skilled needs over longer enrollment periods, have Hospice Tax Status and Ownership Matters higher rates of complaint allegations and deficiencies, and for Patients and Families provide fewer community benefits, including training, re- The increase in ownership of hospices by private equity (PE) search, and charity care. For-profit hospices are more likely 5,7 firms and publicly traded companies (PTCs) documented by than nonprofit hospices to discharge patients prior to death, 1 8 Braun and colleagues follows almost 2 decades of steady to discharge patients with dementia, and to have higher rates 9,10 growth of for-profit ownership of hospice agencies, from one- of hospital and emergency department use. In one analy- third of hospices in 2000 to sis of 355 hospices, 90% of those with the lowest spending on almost two-thirds by 2017. direct patient care (eg, patient home visits) and the highest rates Related article Why is this noteworthy? It is of hospital use were for-profit hospices. Whereas these are difficult to identify a health care sector more detrimentally af- average effects across groups of hospices and individual for- fected by the mismatch between profit maximization incen- profit and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Hospice Tax Status and Ownership Matters for Patients and Families

JAMA Internal Medicine , Volume 181 (8) – Aug 3, 2021

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Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2020.6300
Publisher site
See Article on Publisher Site

Abstract

Letters 4 4,5 Invited Commentary | HEALTH CARE POLICY AND LAW lower-skilled needs over longer enrollment periods, have Hospice Tax Status and Ownership Matters higher rates of complaint allegations and deficiencies, and for Patients and Families provide fewer community benefits, including training, re- The increase in ownership of hospices by private equity (PE) search, and charity care. For-profit hospices are more likely 5,7 firms and publicly traded companies (PTCs) documented by than nonprofit hospices to discharge patients prior to death, 1 8 Braun and colleagues follows almost 2 decades of steady to discharge patients with dementia, and to have higher rates 9,10 growth of for-profit ownership of hospice agencies, from one- of hospital and emergency department use. In one analy- third of hospices in 2000 to sis of 355 hospices, 90% of those with the lowest spending on almost two-thirds by 2017. direct patient care (eg, patient home visits) and the highest rates Related article Why is this noteworthy? It is of hospital use were for-profit hospices. Whereas these are difficult to identify a health care sector more detrimentally af- average effects across groups of hospices and individual for- fected by the mismatch between profit maximization incen- profit and

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Aug 3, 2021

References

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