A Look at Hospice Programs and Staff
Majority of Care Still Provided by Freestanding Hospices
As shown in Table 8, there continues to be a steady decline in care that is
provided by hospital- and home-health-agency based hospices, while the
proportion of hospices that are part of a nursing home jumped to 5.2 percent
in 2011. Freestanding hospices continue to provide the majority of care.
Continued Decline in Small Programs
The proportion of small programs serving 1 to 49 patients has steadily
declined over the past six years, while growth can be seen among those
which serve 501 to 1,500 patients (Table 9).
Table 8: Agency Type
Freestanding/Independent
Hospice
Part of a Hospital System
Part of a Home Health Agency
Part of a Nursing Home
2006
2007
2008
2009
2010
2011
56.2%
58.3%
57.5%
57.7%
58%
57.5%
22.6%
20.1%
1.2%
20.8%
19.7%
1.3%
21.8%
19.4%
1.4%
21.4%
19.5%
1.4%
21.3%
19.2%
1.4%
20.3%
16.8%
5.2%
Growth can be
seen among those
which serve 501
to 1,500 patients.
Table 9: Agency Size by
Patient Admissions
2006
2007
2008
2009
2010
2011
1 to 49
50 to 150
151 to 500
501 to 1,500
More than 1,500
17.9%
29.0%
34.1%
14.5%
4.5%
18.5%
28.0%
32.9%
16.1%
4.6%
18.1%
29.5%
32.1%
16.1%
4.2%
17.1%
29.4%
32.9%
16.1%
4.5%
15.9%
30.1%
33.0%
16.3%
4.6%
15.4%
29.3%
34.2%
16.7%
4.4%
Table 10: Patients
Served by Payer
2006
2007
2008
2009
2010
2011
83.7%
83.6%
84.3%
83.4%
83.8%
84.0%
–
8.5%
7.8%
8.6%
7.9%
7.7%
5.3%
–
–
3.0%
5.0%
1.3%
.9%
.7%
5.1%
1.3%
.7%
.8%
4.9%
1.6%
.7%
.8%
4.9%
1.5%
1.1%
.8%
5.2%
1.3%
1.1%
.7%
Medicare Hospice Benefit
Managed Care or
Private Insurance
Medicaid Hospice Benefit
Uncompensated or Charity Care
Self Pay
Other Payment Sources
continued on next page
NewsLine
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Table of Contents for the Digital Edition of NewsLine - March 2013