Change without Change? Assessing Medicare Reimbursement for Advance Care Planning
| Autor: | Megan S. Wright |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Advance care planning
Health (social science) Decision Making MEDLINE Medicare 01 natural sciences Advance Care Planning 03 medical and health sciences 0302 clinical medicine Nursing Health care Humans 030212 general & internal medicine Medicare reimbursement 0101 mathematics Physician's Role Reimbursement Incentive Reimbursement Provider billing Physician-Patient Relations business.industry Health Policy Communication Barriers 010102 general mathematics United States Philosophy Issues ethics and legal aspects Incentive Patient behavior business |
| Zdroj: | Hastings Center Report. 48:8-9 |
| ISSN: | 1552-146X 0093-0334 |
| DOI: | 10.1002/hast.848 |
| Popis: | In January 2016, Medicare began reimbursing clinicians for time spent engaging in advance care planning with their patients or patients' surrogates. Such planning involves discussions of the care an individual would want to receive should he or she one day lose the capacity to make health care decisions or have conversations with a surrogate about, for example, end-of-life wishes. Clinicians can be reimbursed for face-to-face explanation and discussion of care and advance directives and for the completion of advance care planning forms. Although it seems that political barriers to reimbursement for such planning have largely faded, the Medicare policy's impact on provider billing practices appears to be limited, suggesting other barriers to clinician engagement in advance care planning. Additionally, the effects of this policy on patient behavior and the clinician-patient relationship are not yet known. |
| Databáze: | OpenAIRE |
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