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 · Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt · 25 Aug 2022 podcast

Uh Stephanie, I think her her name is pronounced Walla Wa Wladowski.

She's at Michigan.

She's done a lot of really great qualitative work looking at what happens to patients and families after patients with dementia are disenrolled.

And it's really a pretty traumatic experience for a lot of patients and families.

So that's really what drove my interest in this topic.

So we really wanted to look at um variation and disenrollment um for people with dementia.

And a lot of the things that we were um interested in are some of the things driven by some of the the issues that Melissa

raised around people with dementia being preferentially enrolled into hospice because they tend to make more money for the hospices because they're um require less intensive care and tend to have longer stays.

And and then this process of um disenrolment.

uh there's concerns that this is an indicator of poor quality um for those patients um that that hospices might be disenrolling them um as a way to increase their profit motivation.

So anyway so we're really trying to get at this um

Not only what the patient level predictors are of disenrollment, but trying to get at these kind of larger systems level issues that are going on in the hospice industry right now.

around what the hospice broader market is like and how that will affect something like disenrolment in this important population.

So basically what we found was that um so we looked at variation um at the hospice provider level and also at the regional level, um and also looked at some patient and hospice organizational characteristics that might predict disenrollment and

Um, we we are trying to really kind of come up with a measure and quantify um how much variation there is.

So basically, what it comes down to is that there was a fair amount of um hospice to hospice provider variation.

Um so the way you can think about it is that if you take the same person, same average person, um same characteristics, and move them into a hospice, a different hospice, then their chance of getting disenrolled wouldn't

Would double, right?

So basically, there's a lot of variation amongst hospice providers.

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