Medicare Payment: Advanced Care Planning | My Paper Hub
ADVANCE CARE PLANNING
Due to the increased life...
ADVANCE CARE PLANNING
Due to the increased life expectancy,
the rate of chronic and terminal illnesses and technological advancement,
patients are putting more priority on the Quality of Life (QOF). From various
studies conducted in the past, it is evident that End-of-Life (EOF) care that
starts with Advance Care Planning (ACP) ensures a better quality of life for
the patient. Other than the better quality of life EOF care saves cost for the
patient and his/her family which ultimately increases satisfaction. Many
obstacles stand in the way of EOL care. Eliminating them starts with making
reforms on policies to promote ACP. Nurses and other practitioners in the field
play a critical role in becoming instrumental in advocating for these reforms
to the Medicare payment rule for the Advance Care Planning. The practitioners
play their part by honoring moral, professional and ethical obligations.
The EOL at present is costly to the
patients and their families, the levels of satisfaction are low therefore the
need for policy change in the Medical care to promote the quality of life for
the EOL. The article, therefore, looks at the Medicare payment to put to light
the need for reforms that will enable ACP for adequate EOL care. The article
expounds on the potential benefits of expanded payment for ACP under the
Medicare policy initiated in January 2016. The paper also explains the impact
the change in payment rule has on nursing practices.
The article begins by giving a
background of chronic diseases in the United States, Advance Care Planning,
End-of-life and quality of life. Under Chronic illness in the US, the articles
provide statistical information on life expectancy in 2001 and comparing it to
that of 2013. The rate of expectancy increase by 2.06% over the period of 12
years due to advanced technology that prolonged life for those suffering from
illnesses like heart disease and cancer. The article observes that the Medicare
spending has reduced since 2010 and that the bigger percentage of it is spent
on managing chronic illnesses. It, therefore, suggests that if a good number of
hospitals in the US used Palliative Care (PC), the system would save a lot of
money. One of the impacts the fact that people would opt for alternative and
cheap means for the EOL like avoid readmissions and choose to die at home
rather than hospital beds.
The article further discusses the
components of Advance Care Planning which include the provision of information
to the patient and the family on the options available for their treatment,
supporting the family like deciding on what treatment to choose. Support also
includes assistance in giving directives where the patient provides then ahead
of time in writing. Should there come a time where this patient is not able to
communicate, the family and the caregivers would know what to do with the
directives written ahead of time. The article notes that the Medicare does not
cater for the PC which is one of the obstacles that face ACP.
Under End-of-life and Quality of life,
the article highlights findings from a study that indicates that, if EOL is
initiated early enough, it is possible to improve the QOF for the patient and
his/her family. The article further discusses Medicare payment for ACP where it
notes that there was no justification for professional training of ACP since it
was not paid for initially. The changes in the billing have some implications
on the people responsible. One of which is to include didactic and clinical
The article concludes by stressing on
the benefits of ACP being taken care of by the Medicare. The change of policy
not only enables self-determination but also improves the QOL for the patient
and the family. It will also benefit practitioners as they will receive payment
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