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Percent of Medicare Decedents Enrolled in Hospice within Three Days of Death
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        • DENOMINATOR DEFINITION:
        • The denominator for this measure comprised all Medicare beneficiaries who died between the ages of 66 and 99 during 2012. Beneficiaries without continuous Part A and B coverage in the last six months of life or who were enrolled in risk-bearing HMOs were excluded.

        • NUMERATOR DEFINITION:
        • Among the decedents indicated in the denominator, late initiation of hospice service (within three or fewer days of death) was determined using the Hospice file. Rates were adjusted for age, sex, and race using the indirect method.

        • ADJUSTMENTS:
        • Rates are adjusted for age, sex and race using the indirect method, using the U.S. Medicare decedent population as the standard. Gender-specific rates are age and race adjusted; race-specific rates are age and sex adjusted.




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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.