1. Hospice 101

2. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians

3. The Hospice Philosophy

4. Industry Trends Important Needs Going Unmet Palliative Care Teams Significantly Reduce Hospital Costs Late Referrals Undermine Hospice Value Hospice Extends Life

5. Containing Costs Early engagement of hospice services lead to longer and better quality of life Hospice decreases Medicare expenditures End of Life Programs

6. End of Life Conversations have positive impact on cost reduction and quality improvement  Advance cancer patients who had End of Life discussions showed 35.7% in lower costs than those with no EOL discussions  Patient with higher costs had worse EOL experience in their final weeks

7. Who pays for hospice care? Medicare 83.4% Private insurance 8.6% Medicaid 4.9% What we pay for

8. 4 Levels of Care

9. Who Qualifies Terminal dx with life expectancy of 6 months Multiple dx including cancer, COPD, sepsis, failure to thrive, dementia, ESHD, ESRD, heart failure

10. Final Thoughts and Questions