How Does Medicare Pay for Hospice? (continued) Spending by Diagnosis Spending by Level of Care In 2018, patients with a principal diagnosis of In 2018, the vast majority of Medicare spending for dementia continued to lead Medicare hospice hospice care was for care at the routine home care spending at 25.3%. Stroke, circulatory/heart, and level. This has grown 17.8% since 2014. respiratory related medicare spending grew the Table 7: Spending by Level of Care most since 2014. Level of Care Table 6: % of Medicare Spending by Principal Diagnosis CCS Routine Home Care 2018 Dementia 25.3% Circulatory/Heart 20.2% Cancer 17.7% Other 13.3% Respiratory 10.9% Stroke 11.5% Chronic Kidney Disease 2018 89.81% General Inpatient Care 6.44% Inpatient Respite Care 1.95% Continuous Home Care 1.79% Source: CMS Data sourced by HCCI for NHPCO 1.1% Source: CMS Data sourced by HCCI for NHPCO The data sources primarily used for this report are from the MedPAC March Report to Congress (various years), MedPAC Data Book, and various CMS claims related data sourced by the Health Care Cost Institute (HCCI) paid for by NHPCO. Download the complete report, NHPCO Facts and Figures, 2020 edition. Newsline / Fall 2020 25https://www.nhpco.org/wp-content/uploads/NHPCO-Facts-Figures-2020-edition.pdf