2.6 million
Explore data and insights on Medicare spending for end-of-life care in the United States in 2014, including the percentage of beneficiaries covered by Medicare, trends in total spending, per person costs, and hospice utilization. Discover how Medicare expenditure varies with age and the evolving landscape of end-of-life healthcare services under Medicare.
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Figure 1 4 of 5 people who died in the United States in 2014 were covered by Medicare Total Deaths, 2014: 2.6 million Total Medicare Beneficiary Deaths, 2014: 2.1 million SOURCE: Kaiser Family Foundation, Medicare Spending at the End of Life: A Snapshot of Beneficiaries Who Died in 2014 and the Cost of Their Care, July 2016. Data from Kaiser Family Foundation analysis of 5% percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse (CCW), 2014 (for total Medicare beneficiary deaths in 2014); National Center for Health Statistics, Health, United States, 2015: With Special Feature on Racial and Ethnic Health Disparities, 2016, Table 19 (for total deaths in 2014).
Figure 2 The share of total Medicare spending for people at the end of life has decreased 18.6% 17.8% 16.4% Share of Total Medicare Spending 14.9% 14.9% 14.5% 14.3% 13.5% 2000 2002 2004 2006 2008 2010 2012 2014 NOTE: Excludes beneficiaries in Medicare Advantage. SOURCE: Kaiser Family Foundation, Medicare Spending at the End of Life: A Snapshot of Beneficiaries Who Died in 2014 and the Cost of Their Care, July 2016. Data from Kaiser Family Foundation analysis of 5% percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse (CCW), 2014.
Figure 3 Medicare spending was higher for people at the end of life in 2014 $34,529 per person $9,121 per person Decedents with Medicare Others with Medicare NOTE: Excludes beneficiaries in Medicare Advantage. SOURCE: Kaiser Family Foundation, Medicare Spending at the End of Life: A Snapshot of Beneficiaries Who Died in 2014 and the Cost of Their Care, July 2016. Data from Kaiser Family Foundation analysis of 5% percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse (CCW), 2014.
Figure 4 Medicare spending for end-of-life care decreased with age in 2014 $38,840 Spending per Person Decedents with Medicare $18,471 Others with Medicare $14,546 $5,271 65 70 75 80 85 90 95 100 Age in Years NOTE: Excludes beneficiaries in Medicare Advantage. 65-year-olds excluded because most are enrolled for less than one year. SOURCE: Kaiser Family Foundation, Medicare Spending at the End of Life: A Snapshot of Beneficiaries Who Died in 2014 and the Cost of Their Care, July 2016. Data from Kaiser Family Foundation analysis of 5% percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse (CCW), 2014.
Figure 5 Medicare hospice use and spending has increased Share of Decedents who Received Hospice Care Total Medicare Hospice Spending 46% $10.4 billion 21% $2.3 billion 2000 2014 2000 2014 NOTE: Excludes beneficiaries in Medicare Advantage. SOURCE: Kaiser Family Foundation analysis of 5% percent sample of Medicare claims from CMS Chronic Conditions Data Warehouse (CCW), 2000 and 2014.
Figure 6 Many people aged 65 years have not discussed end-of-life care with a physician (2015) or documented end-of-life care wishes (2013) 40% Have NOT documented 73% Have NOT discussed 60% Have documented 27% Have discussed Before January 1, 2016, Medicare did not reimburse physicians for patient visits to discuss EOL care. SOURCE: Pie 1: Kaiser Family Foundation Tracking Poll, September 2015; Pie 2: Pew Research Center, Views on End-of-Life Medical Treatments, November 2013.
Figure 7 Most physicians report not being trained to discuss end-of- life care (2016) 68% Report NOT having had training 29% Report having had training 3% Don't Know Before January 1, 2016, Medicare did not reimburse physicians for patient visits to discuss EOL care. SOURCE: The John A. Harford Foundation Conversation Stopper: What s Preventing Physicians from Talking with Patients about End-of-Life and Advance Care Planning? Poll, April 2016.
