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And at some point, she was living in assistedliving and fell and broke her hip. And we know that a third of Medicare beneficiaries undergo surgery in the last year of life with 18% of those occurring in the last month of life. So we looked at Medicare data, we called out everything that had this 1% cutoff or higher.
I had looked at a research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade, and really over the course of say around 2015 to 2019. Alex: Can I ask a question? Melissa, were you a banker before you did research?
She has won the N H P C O Hospice Innovator Award in 2018, and she was the 2015 International Humanitarian Woman of the Year. Medicare doesn’t hurt palliative care services. We look for creative ways, but hospice has its own reimbursement source through Medicare. Speaker 2 ( 00:40 ): Mm-hmm. ,
Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” 2015, 2016.
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