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An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life

PURPOSE: The purpose of this study was to generate baseline data on the health characteristics, health care utilization, and health care spending among privately insured adolescents and young adults (AYA), who were enrolled in hospice care during their last year of life. METHODS: A retrospective, no...

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Autores principales: Keim-Malpass, Jessica, Cohrs, Austin C, Lindley, Lisa C, Leslie, Douglas L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122891/
https://www.ncbi.nlm.nih.gov/pubmed/30214370
http://dx.doi.org/10.2147/AHMT.S168501
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author Keim-Malpass, Jessica
Cohrs, Austin C
Lindley, Lisa C
Leslie, Douglas L
author_facet Keim-Malpass, Jessica
Cohrs, Austin C
Lindley, Lisa C
Leslie, Douglas L
author_sort Keim-Malpass, Jessica
collection PubMed
description PURPOSE: The purpose of this study was to generate baseline data on the health characteristics, health care utilization, and health care spending among privately insured adolescents and young adults (AYA), who were enrolled in hospice care during their last year of life. METHODS: A retrospective, nonexperimental design was used to collect and analyze longitudinal claims data from the Truven Health MarketScan™ database. The sample included AYA (aged 15–24 years) who utilized hospice during their last year of life. RESULTS: Totally, 17,408 AYA were included in this analysis. Mean hospice length of stay (LOS) was low overall, but there was a statistically significant difference in hospice LOS in ages 15–19 years (mean 3.56, SD 15.17 days) compared with those aged 20–24 years (mean 2.26, SD 8.24; P<0.001 days). More than a third (37%) of the AYAs used the emergency department during the last year of life and 83% sought care from a primary care visit. However, only 6% of the sample who were hospice enrollees used frequent inpatient hospital services. CONCLUSIONS: This study provides preliminary data for private insurance expenditures and clinical utilization for AYA who were enrolled in hospice. This analysis also provides initial evidence to suggest extremely short hospice LOS for AYAs prior to the end of life and represents an area of future research need.
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spelling pubmed-61228912018-09-13 An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life Keim-Malpass, Jessica Cohrs, Austin C Lindley, Lisa C Leslie, Douglas L Adolesc Health Med Ther Short Report PURPOSE: The purpose of this study was to generate baseline data on the health characteristics, health care utilization, and health care spending among privately insured adolescents and young adults (AYA), who were enrolled in hospice care during their last year of life. METHODS: A retrospective, nonexperimental design was used to collect and analyze longitudinal claims data from the Truven Health MarketScan™ database. The sample included AYA (aged 15–24 years) who utilized hospice during their last year of life. RESULTS: Totally, 17,408 AYA were included in this analysis. Mean hospice length of stay (LOS) was low overall, but there was a statistically significant difference in hospice LOS in ages 15–19 years (mean 3.56, SD 15.17 days) compared with those aged 20–24 years (mean 2.26, SD 8.24; P<0.001 days). More than a third (37%) of the AYAs used the emergency department during the last year of life and 83% sought care from a primary care visit. However, only 6% of the sample who were hospice enrollees used frequent inpatient hospital services. CONCLUSIONS: This study provides preliminary data for private insurance expenditures and clinical utilization for AYA who were enrolled in hospice. This analysis also provides initial evidence to suggest extremely short hospice LOS for AYAs prior to the end of life and represents an area of future research need. Dove Medical Press 2018-08-30 /pmc/articles/PMC6122891/ /pubmed/30214370 http://dx.doi.org/10.2147/AHMT.S168501 Text en © 2018 Keim-Malpass et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Short Report
Keim-Malpass, Jessica
Cohrs, Austin C
Lindley, Lisa C
Leslie, Douglas L
An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
title An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
title_full An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
title_fullStr An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
title_full_unstemmed An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
title_short An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
title_sort economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122891/
https://www.ncbi.nlm.nih.gov/pubmed/30214370
http://dx.doi.org/10.2147/AHMT.S168501
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