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Comments made by mapfel

When Does End Of Life Begin: Hospice Under Scrutiny

Excellent article and points out how are system is failing many patients who can greatly benefit from both Hospice and Palliative Care for these chronic conditions. LC has CHF, the number 1 reason for hospital admissions in the US, but thru excellent care , has avoided this for the past 2 years. How much money has this saved Medicare ?? Good palliative and hospice care save the system a lot of money and provide coordinated, patient centered care (One of the Triple Aims). I would rather see patients on hospice for longer than 6 months rather than less than 10 days, which is the current norm in many places. This is another reason we need to have payment reform which can address these issues, rather than disaster time and money auditing excellent docs such as Daniel Hoefer and organizations like San Diego Hospice

Mark Apfel, MD

February 11, 2013 at 7:35 p.m. ( | suggest removal )