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Insured Uninsured and the Effects On Hospice

As a Healthcare Organization The United States healthcare system includes health plans, physicians,hospitals, clinics, consumers, and public health programs as well ashospice organizations. This report will present insights into how theinsured and uninsured affect Hospice organizations in our healthcaresystem. As the median age of the population of the United States continuesto rise, more Americans will need the services provided by a hospiceorganization. Hospice is not a process or facility for curing a fataldisease. Instead, hospice is a healthcare provider that has created anexcellent reputation for dealing with the pressures related to the care ofterminally-ill patients most of the time in the final stages of life.Hospice is also known for assisting those patients that have a confirmedlife-threatening illness no matter what the stage of progression. The mainobjective of hospice care is to maintain the best quality of life possiblefor a patient and to keep that patient as comfortable or pain free aspossible. Normally, these services are performed in the patient's home butmore and more hospice organizations are required to attend healthcare


Patients orfamily usually only have to contact a local branch of the hospice caresystem as soon they are made aware of a fatal situation. A hospice team consists of amultidisciplinary health care approach. As the number ofMedicare beneficiaries increases as the baby boom generation ages, theeffects will continue effect the Medicare program. " (Hospice Benefits and Utilizationin the Large Employer Market) Around 1972, the first hospice programs wereintroduced in both the United States and Canada as a new type of formalservice and around a decade later the program was accepted by the Medicareprogram giving it full support. In addition, thoseindividuals in the progressive stage of any life-threatening illness arealso eligible. As the age of the population in theUnited States rises, more Americans will need the services provided by ahospice organization. When patientslived longer and still needed hospice services, hospice programs had tocontinue service by law without charging Medicare or the patient. "In 1977, the National Hospice Organization(NHO) was formed in the United States. This includeswhatever necessary drugs or medical needs a patient may have such asbiologicals. Hospice is one part of the healthcare system that does not put as muchemphasis on the financial side of illness. The trends in utilization patterns for the hospice organizations aredriven by the Medicare process. With all of the talk regarding the cost of healthcare in the mediatoday, one rarely if ever hears about the hospice programs. One of the more important aspectsof the hospice program is that when necessary, medical appliances orsupplies can be made available for the patient or family. In 1978, the National Cancer Institute awarded grants tothree hospices as demonstration projects to investigate the costsassociated with care and to describe the actual manner in which care wasprovided to patients. The mission, structure, and current community position of theorganization has not changed a great deal since inception.

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