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Published by: Kalorama Information
Published: Jan. 1, 1996 - 208 Pages Now 50% off the original sale price of $3,250.
Table of Contents
Chapter 1: Executive Summary
Scope and Methodology
Introduction to U.S. Health Care Services
Hospice Payment Sources
The Medicare Hospice Benefit
The Medicaid Hospice Benefit
Introduction to Hospice Care
History of Hospice Care
Introduction to Hospice Care
Hospice Care Services
Types of Hospice Care
Nonprofit versus For-Profit Hospices
Cost Savings of Hospice Care
Hospice Services and Products
Professional Services
Medical Equipment
Pharmaceuticals
Formularies
The Role of the Hospice in Drug Procurement
Current Use by Drug Category
Demographic Issues and Trends
Elderly Population Characteristics
Hospice Resident Populations
Industry and Regulatory Issues and Trends
Marketing Hospice Services
Strategies for Hospice Profitability
The Move Toward Alliances
The Hospice Provider Group, Inc.
Strategies for Affiliation
The U.S. Market
Scope and Methodology
Size of the Market
The For-Profit Hospice Market
The Nonprofit Hospice Market
Hospice Drugs
Chapter 2: Introduction to U.S. Health Care Services
Scope and Methodology
Current U.S. Health Care Industry
Home Health Care
Historical Expenditures and Forecasts
Payment Sources
Hospice Payment Sources
Trends
Third-Party Coverage
Medicare
Hospice Care Supported by Medicare
The Patient Self-Determination Act
The Medicare Hospice Benefit
Home Hospice Care
Physicians' Fees
Providers
Benefit Periods
Patient Copayments
Services Not Covered by the Medicare Hospice Benefit
The Medicaid Hospice Benefit
Chapter 3: Introduction to Hospice Care
Overview
History of Hospice Care
Definition of Hospice Care
How Hospice Care Differs From Home Care
Eligibility for Hospice Care
Hospice Care Services
The Role of the Patient
The Hospice Physician's Role
Genograms
The Role of the Primary Caregiver
The Hospice Patient's Bill of Rights
Types of Hospice Care
All-Volunteer Hospices
Freestanding Hospices
Home Health Agency-Based Hospices
Hospital-Based Hospices
Long-Term Care Facility-Based Hospices
Nonprofit versus For-Profit Hospices
Requirements to Operate a Hospice
State Licensing
The Joint Commission on the Accreditation of Health Care Organizations
Medicare Certification
The Role of Volunteers
National Hospice Organization Standards
Cost of Hospice Care
Cost Savings of Hospice Care
Cost Savings by Type of Hospice
Out-of-Pocket Expenses
Ideal Case Cost Savings
High-Cost Patients
Hospice Use Savings to Medicare
The Cost of Caring for AIDS and Terminal Cancer Patients
The Role of Family and Volunteers in Cost Savings
Hospice Revenue Sources
Medicare
Eligibility for the Medicare Hospice Benefit
Reimbursement
Medicaid
Private Insurance
Health Maintenance Organizations
Adoption of a Hospice Benefit by Private Insurers
Civilian Health and Medical Program for Uniformed Services
Other Funding
Insurance Fraud Uncovered at Hospices
Hospice Organizations
The Academy of Hospice Physicians
Children's Hospice International
Foundation for Hospice and Home Care
Hospice Association of America
Hospice Education Institute
National Hospice Organization
National Institute for Jewish Hospice
DeathNET
Chapter 4: Hospice Services and Products
Professional Services
Bereavement Counseling
Continuous Care in Medical Crisis
Home Health Aide
Hospice Nurse
Medical Director
Medical Social Workers
Nutritional, Occupational, and/or Physical Therapist
Respite Services
Spiritual Counselor
Volunteers
Medical Equipment
Pharmaceuticals
Formularies
The Role of the Hospice in Drug Procurement
Current Use by Drug Category
Analgesics
Analgesia and Addiction
Current Protocol for Administrating Analgesics
Morphine
Patient Concern About Morphine
Drugs to Treat Atypical Pain
Anti-Infectives
Antinauseants
Chemotherapy Agents
Corticosteroids
Neurological/Psychotherapeutic Agents
Respiratory Drugs
Other Therapeutic Options
Enteric Nutritional Support
Radiation Therapy
Leading Suppliers of Hospice Medications
Chapter 5: Demographic Issues and Trends
Elderly Population Characteristics
Hospice Resident Populations
Disease Diagnoses
Acquired Immunodeficiency Syndrome
Increasing Use of Hospice Care by AIDS Patients
Alzheimer's Disease and Related Dementias
Hospice Use by Alzheimer's Patients
Cancer
Chapter 6: Industry and Regulatory Issues and Trends
Starting a Hospice Program
Medicare Certification
The Cost Report
Statistical Data
Financial Data
Break-Even Analysis
The Budget Process
Marketing Hospice Services
Processing for Admission
Attending Physician
Communication with Patient and Family
Hospital Affiliation
Inpatient and Outpatient Care
Management of Care
Medical and Nursing Care in the Home
Pain Management
Philosophical Orientation
Hospice Facilities
Revocation
Strategies for Effective Hospice Program Marketing
Strategies for Hospice Profitability
Differences Between New and Established Programs
Recommended Changes to the Medicare Hospice Benefit
Overcoming Social Bias
Alternatives to the Primary Caregiver Requirement
A Demonstration Project of Hospice Care for Patients Living Alone
Patient Education Key to a Successful Hospice Experience
Difficulties for Hospices in Managing Patients with AIDS or Alzheimer's Disease
The Effect of Hospice Setting on Management and Control
The Move Toward Alliances
The Hospice Provider Group, Inc.
Strategies for Affiliation
Proposed Changes to Medicare
Role of the Primary Physician in Hospice Use and Growth
Hospice as a Single-Payor System
Futile Care
Palliative Care
The Oregon Case
Hospice and the Hemlock Society
Hospice and Assisted Suicide
Choices of Hospice Policy Regarding Physician-Assisted Suicide
Chapter 7: The U.S. Market
Scope and Methodology
Trends Affecting the Market
Market Overview
Size of the Market
The For-Profit Hospice Market
The Nonprofit Hospice Market
Hospice Drugs
Analgesics
Other Drugs
Chapter 8: Corporate Profiles
Methodology
Companies Selected for Corporate Profiles
Leading Hospice Programs
Community Hospice
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
FHP International Corporation
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Hospice By The Sea
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Hospice of Central Florida
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Hospice of the Florida Suncoast
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Hospice of Louisville
History and Lines of Business
Financial Information
Hospice Care Products and Services
Hospice of Michigan
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Hospice of Northern Virginia
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Hospice of Southwest Florida
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
In Home Health, Inc.
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Mid-Atlantic Hospice Care, Inc.
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Olsten Kimberly QualityCare Hospice
History and Lines of Business
Financial Information for Olsten Corporation
Hospice Care Products and Services
Corporate Strategies
Vencor, Inc.
History and Lines of Business
Financial Information
Hospice Products and Services
Corporate Strategies
Vesper Hospice and Home Health of the East Bay
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
VITAS Healthcare Corporation
History and Lines of Business
Financial Information
Hospice Care Products and Services
Corporate Strategies
Appendix: Hospice Names and Addresses
AbstractToday, more than 2000 hospice programs exist in the U.S., with upwards of 250,000 patients participating. Kalorama Information analyzes every aspect of the hospice care industry from facilities and resident populations to services and pharmaceutical use. The report identifies and explains the reasons for the trends shaping the market, like the attempts of many hospice programs to enhance their cost efficiency and benefits in order to attract both patients and quality primary care physicians. Profiles of major providers are provided.
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