Methadone and Cardiac Adverse Outcomes: A Retrospective Study of Patients in a Managed Care Organization (S750)

Abstract

began within 3 days of the start of the beneficiary’s hospice episode and ended within 3 days of the end of the beneficiary’s hospice episode. For 65% of GIP stays, the beneficiary was not in hospice on the day immediately preceding their first GIP day. Nearly 80% of all hospice providers provided at least one GIP day. Most providers billed less than 13% of their hospice days as GIP days (average 1⁄4 1.5%); a small number exceeded 20%. A higher proportion of older hospices provide GIP than younger hospices, and nearly all large hospices provide GIP compared to half of small hospices. Nearly all New England providers provided GIP vs. three-quarter of Southern providers. Conclusion. There are important variations in GIP utilization by LOS, site of service, and provider characteristics. Most beneficiaries who had a GIP stay began their hospice episode receiving GIP level of care. Implications for Research, Policy, or Practice. Ongoing analyses seek to better understand the underlying causes of variation and factors that influence transition to GIP.