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Utilization of ACP CPT codes among high-need Medicare beneficiaries in 2017: A brief report

Author

Listed:
  • Amanda J Reich
  • Ginger Jin
  • Avni Gupta
  • Dae Kim
  • Stuart Lipstiz
  • Holly G Prigerson
  • Jennifer Tjia
  • Keren Ladin
  • Scott D Halpern
  • Zara Cooper
  • Joel S Weissman

Abstract

Importance: Medicare beneficiaries with high medical needs can benefit from Advance Care Planning (ACP). Medicare reimburses clinical providers for ACP discussions, but it is unknown whether high-need beneficiaries are receiving this service. Objective: To compare rates of billed ACP discussions among a cohort of high-need Medicare beneficiaries with the non-high-needs Medicare population. Design: Retrospective analysis of Medicare Fee-for-Service (FFS) claims in 2017 comparing high-need beneficiaries (seriously ill, frail, ESRD, and disabled) with non-high need beneficiaries. Setting: Nationally representative FFS Medicare 20% sample Participants: Medicare beneficiaries were assigned to one of the following classifications: seriously ill (65+), frail (65+), seriously ill & frail (65+); non-high need (65+); end stage renal disease (ESRD) or disabled (

Suggested Citation

  • Amanda J Reich & Ginger Jin & Avni Gupta & Dae Kim & Stuart Lipstiz & Holly G Prigerson & Jennifer Tjia & Keren Ladin & Scott D Halpern & Zara Cooper & Joel S Weissman, 2020. "Utilization of ACP CPT codes among high-need Medicare beneficiaries in 2017: A brief report," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-8, February.
    • Handle: RePEc:plo:pone00:0228553
    DOI: 10.1371/journal.pone.0228553
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