Health Affairs April 5, 2024
Cara L. Wallace, Stephanie P. Wladkowski

When most people think about hospice care, they imagine someone such as the late Rosalynn Carter, who enrolled onto hospice and died within a few days. Jimmy Carter’s long hospice stay, now more than a year, has shown a different model for hospice—one that supports its mission to help people live well, with dignity and quality of life, for whatever time remains.

However, current policy restrictions to enroll and remain on hospice make it difficult for many hospice recipients to receive hospice care for “whatever time remains,” as 17.2 percent of Medicare hospice patients are discharged alive.

To enroll on hospice, a person must meet eligibility criteria based on their specific disease, with a physician statement of a six-months or...

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