Lauren Hunt

speaker

489 appearances 7 recordings 1 series first heard Mar 2019 last heard Mar 2023

Lauren Hunt’s voice in public audio — every appearance, attributed to the second.

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GeriPal - A Geriatrics and Palliative Medicine Podcast · Expelled from Hospice: Podcast with Elizabeth Luth and Lauren Hunt · 18 Mar 2021 podcast

Well, I think this issue of perspective is really interesting because I think, you know,

The long enrollments are definitely, from the Medicare perspective, that's a bad outcome for Medicare because that means they have to pay more money, right?

At least under the old system.

But live, I mean, this is at least the way I've kind of been thinking about it, but live discharges,

I mean, long enrollment isn't necessarily a bad outcome from the patient perspective, right?

Because they're getting all those services all the time.

But then live discharge from the patient perspective is definitely a bad outcome because then they get, you know, they lose the hospice services and Medicare is concerned about quality.

So anyway, I'll

good title.

Yeah, I mean, I think I completely agree.

And I think hospice was originally designed for an advanced cancer and HIV model, and it still has not caught up to the current situation where the majority of patients in hospice now do not have cancer.

And people with advanced cancer, it's relatively easy to predict

when what their prognosis is.

But it's notoriously difficult to predict, especially in dementia.

And Alex is hard at work on trying to make better models.

The other thing that I wanted to add is, in addition to a change in the patient population over the past 20, 30 years, there's also been a really big change in the hospice marketplace over the past 20 years.

So it used to be that hospice organizations were mostly nonprofit.

There was a lot of volunteer involvement.

And now hospice is a multi-billion dollar industry.

And the number, there's been a shift in the total number of hospices in the industry.

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