2014 Medicare Information With 2013 Comparisons 2016 State Hospice Report Louisiana ~ Mississippi A Proud Supporter Of 2014 Medicare Information With 2013 Comparisons 2/25/16

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2014 Demographics & Hospice Utilization Louisiana Mississippi National Population 4,649,676 2,994,079 318,750,821 Total Deaths 42,896 29,573 2,593,535 Medicare Beneficiaries 813,045 576,427 55,371,221 Medicare Beneficiary Deaths 33,107 23,589 2,104,171 Medicare Hospice Beneficiary Admissions 21,806 66% of Medicare deaths 14,839 63% of Medicare deaths 1,320,405 Medicare Hospice Beneficiary Deaths 15,334 46.3% of Medicare deaths 8,896 37.7% of Medicare deaths 965,882 45.9% of Medicare deaths Medicare Hospice Total Days of Care 1,733,622 Days 1,255,037 Days 90,781,803 Days Medicare Hospice Mean Days / Beneficiary Medicare Hospice Median Days / Beneficiary 80 Days 28 Days 86 Days 37 Days 69 Days 23 Days Medicare Hospice Total Payments Medicare Hospice Mean Payment / Beneficiary $251,787,925 $11,556 $177,133,956 $12,136 $14,922,383,020 $11,313 www.HospiceAnalytics.com 6

2013 Demographics & Hospice Utilization Louisiana Mississippi National Population 4,625,470 2,991,207 316,022,508 Total Deaths 41,839 28,976 2,529,792 Medicare Beneficiaries 791,421 564,086 53,838,457 Medicare Beneficiary Deaths 32,664 23,797 2,081,847 Medicare Hospice Beneficiary Admissions 21,394 65% of Medicare deaths 15,635 66% of Medicare deaths 1,304,994 63% of Medicare deaths Medicare Hospice Beneficiary Deaths 14,861 45.5% of Medicare deaths 8,915 37.5% of Medicare deaths 946,017 45.4% of Medicare deaths Medicare Hospice Total Days of Care 1,708,139 Days 1,333,435 Days 91,044,459 Days Medicare Hospice Mean Days / Beneficiary Medicare Hospice Median Days / Beneficiary 80 Days 28 Days 87 Days 39 Days 70 Days 24 Days Medicare Hospice Total Payments Medicare Hospice Mean Payment / Beneficiary $248,274,194 $11,613 $186,335,707 $12,175 $14,917,921,218 $11,444 www.HospiceAnalytics.com 7

2014 Hospice Utilization (Medicare Hospice Deaths / Total Medicare Deaths) www.HospiceAnalytics.com 8

2013 Hospice Utilization (Medicare Hospice Deaths / Total Medicare Deaths) www.HospiceAnalytics.com 9

Change in Hospice Utilization 2013-2014 (Medicare Hospice Deaths / Total Medicare Deaths) www.HospiceAnalytics.com 10

Change in Hospice Utilization 2012-2013 (Medicare Hospice Deaths / Total Medicare Deaths) www.HospiceAnalytics.com 11

2005-2014 Hospice Utilization State 10-Year Trend Note: Hospice Utilization= Medicare Hospice Deaths / Total Medicare Deaths. www.HospiceAnalytics.com 12

2014 Medicare Hospice Admissions National= 1,320,405 www.HospiceAnalytics.com 13

2013 Medicare Hospice Admissions National= 1,303,602 LA #22: 21,379 MS #30: 15,305 www.HospiceAnalytics.com 14

2014 Medicare Total Days of Hospice Care National= 90,781,803 Days LA #20: 1,733,622 MS #25: 1,255,037 www.HospiceAnalytics.com 15

2013 Medicare Total Days of Hospice Care National= 91,044,459 Days LA #21: 1,708,139 MS #24: 1,333,435 www.HospiceAnalytics.com 16

2014 Medicare Hospice Mean Days of Care / Beneficiary MS #4: 86 LA #9: 80 National: 69 www.HospiceAnalytics.com 17

2013 Medicare Hospice Mean Days of Care / Beneficiary MS #4: 87 LA #11: 80 National: 70 www.HospiceAnalytics.com 18

2005-2014 Hospice Mean Days of Care 10 Year Trend www.HospiceAnalytics.com 19

2014 Medicare Hospice Median Days of Care / Beneficiary MS #5: 37 LA #11: 28 National: 23 www.HospiceAnalytics.com 20

2013 Medicare Hospice Median Days of Care / Beneficiary MS #5: 39 LA #12: 28 National: 24 www.HospiceAnalytics.com 21

2005-2014 Hospice Median Days of Care 10 Year Trends www.HospiceAnalytics.com 22

2014 Medicare Hospice Total Medicare Reimbursement / Beneficiary National= $14,922,383,020 LA #21: $261,626,824 MS #28: $117,133,956 www.HospiceAnalytics.com 23

2013 Medicare Hospice Total Medicare Reimbursement / Beneficiary National= $14,917,921,218 LA #21: $248,274,194 MS #27: $186,335,707 www.HospiceAnalytics.com 24

2014 Medicare Hospice Mean Medicare Reimbursement / Beneficiary www.HospiceAnalytics.com 25

2013 Medicare Hospice Mean Medicare Reimbursement / Beneficiary LA #18: $11,613 www.HospiceAnalytics.com 26

2014 Medicare Hospice Beneficiaries Top Six ICD-9 PRIMARY Diagnoses (out of 19 categories) www.HospiceAnalytics.com 27

2013 Medicare Hospice Beneficiaries Top Six ICD-9 PRIMARY Diagnoses (out of 19 categories) www.HospiceAnalytics.com 28

2014 Medicare Hospice Beneficiaries Status at Discharge www.HospiceAnalytics.com 29

2013 Medicare Hospice Beneficiaries Status at Discharge www.HospiceAnalytics.com 30

2014 Medicare Hospice Beneficiaries Race: Medicare Beneficiaries vs 2014 Medicare Hospice Beneficiaries Race: Medicare Beneficiaries vs. Hospice Admissions 13% Min 19% Min 14% Min 26% Min 30% Min 32% Min Comparing Medicare to Medicare Hospice minority percentages. Minorities are underserved in hospice. www.HospiceAnalytics.com 31

2013 Medicare Hospice Beneficiaries Race: Medicare Beneficiaries vs 2013 Medicare Hospice Beneficiaries Race: Medicare Beneficiaries vs. Hospice Admissions 12% Min 19% Min 23% Min 30% Min 30% Min 32% Min Comparing Medicare to Medicare Hospice minority percentages. Minorities are underserved in hospice. www.HospiceAnalytics.com 32

2014 Medicare Hospice Beneficiaries Levels of Care (days) www.HospiceAnalytics.com 33

2013 Medicare Hospice Beneficiaries Levels of Care (days) www.HospiceAnalytics.com 34

2014 Medicare Hospice Beneficiaries Locations of Care (days) www.HospiceAnalytics.com 35

2013 Medicare Hospice Beneficiaries Locations of Care (days) www.HospiceAnalytics.com 36

Thank you Please contact Cordt Kassner, PhD, at Hospice Analytics with any questions, comments, feedback, or for additional information: P: 719-209-1237 E: Info@HospiceAnalytics.com W: www.HospiceAnalytics.com * Review the new National Hospice Locator at www.HospiceAnalytics.com – geo-maps and detailed information on every known hospice in the United States! www.HospiceAnalytics.com 37