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
JAMA Internal Medicine – American Medical Association
Published: Aug 3, 2021
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