Utilization of ACP CPT codes among high-need Medicare beneficiaries in 2017: A brief report

Amanda J Reich, Ginger Jin, Avni Gupta, Dae Kim, Stuart Lipstiz, Holly G Prigerson, Jennifer Tjia, Keren Ladin, Scott D Halpern, Zara Cooper and Joel S Weissman

PLOS ONE, 2020, vol. 15, issue 2, 1-8

Abstract: Importance: Medicare beneficiaries with high medical needs can benefit from Advance Care Planning (ACP). Medicare reimburses clinical providers for ACP discussions, but it is unknown whether high-need beneficiaries are receiving this service. Objective: To compare rates of billed ACP discussions among a cohort of high-need Medicare beneficiaries with the non-high-needs Medicare population. Design: Retrospective analysis of Medicare Fee-for-Service (FFS) claims in 2017 comparing high-need beneficiaries (seriously ill, frail, ESRD, and disabled) with non-high need beneficiaries. Setting: Nationally representative FFS Medicare 20% sample Participants: Medicare beneficiaries were assigned to one of the following classifications: seriously ill (65+), frail (65+), seriously ill & frail (65+); non-high need (65+); end stage renal disease (ESRD) or disabled (

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0228553

DOI: 10.1371/journal.pone.0228553

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