Do live discharge rates increase as hospices approach their Medicare aggregate payment caps?

The rate of live discharge from hospice and the proportion of hospices exceeding their aggregate caps have both steadily increased for the last 15 years, becoming a source of federal scrutiny. The cap restricts aggregate payments hospices receive from Medicare during a 12-month period. The risk of repayment and the manner in which the cap is calculated may incentivize hospices coming close to their cap ceilings to discharge existing patients prior to the end of the cap year.

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