4 of 5 Californians who died in 2014 were covered by Medicare

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Presentation transcript:

4 of 5 Californians who died in 2014 were covered by Medicare 196,000 Total Medicare Beneficiary Deaths in California 246,000 Total Deaths in California NOTE: Estimates rounded to the nearest thousand. SOURCE: Kaiser Family Foundation analysis of a 5 percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse, 2014 (for total Medicare beneficiary deaths in California in 2014); State of California, Department of Public Health, Death Records (for total deaths in California in 2014).

The share of total Medicare spending for Californians at the end of life has decreased Share of total Medicare spending in California NOTE: Excludes beneficiaries in Medicare Advantage. SOURCE: Kaiser Family Foundation analysis of a 5 percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse, 2000-2014.

Decedents with Medicare Medicare spending was higher for Californians at the end of life in 2014 Decedents with Medicare in California Others with Medicare in California NOTE: Excludes beneficiaries in Medicare Advantage. SOURCE: Kaiser Family Foundation analysis of a 5 percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse, 2014.

Decedents with Medicare in California Medicare spending for Californians’ end-of-life care decreased with age in 2014 Decedents with Medicare in California Age Group in Years NOTE: Excludes beneficiaries in Medicare Advantage. 65-year-olds excluded because most are enrolled for less than one year. SOURCE: Kaiser Family Foundation analysis of a 5 percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse, 2014.

Medicare hospice use and spending in California has increased Share of California Decedents with Medicare who Received Hospice Care Total Medicare Hospice Spending in California 2000 2014 2000 2014 NOTE: Excludes beneficiaries in Medicare Advantage. SOURCE: Kaiser Family Foundation analysis of a 5 percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse, 2000 and 2014.

Most physicians in California report not having had training to discuss end-of-life care Before January 1, 2016, Medicare did not reimburse physicians for patient visits to discuss EOL care. SOURCE: California Health Care Foundation, Cambia Health Foundation, John A. Hartford Foundation, “Topline Results: Survey of Physicians on Advance Care Planning Conversations,” fielded February 18-March 7, 2016.