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

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Presentation on theme: "4 of 5 Californians who died in 2014 were covered by Medicare"— Presentation transcript:

1 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).

2 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,

3 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.

4 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.

5 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.

6 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.

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