Medicare Hospice Benefit Policy Essay

The Medicare Hospice Benefit policy is a federal policy that provides coverage for hospice care services for individuals with a life expectancy of six months or less if the illness runs its normal course (Park, 2019). In the situation involving Barbara Smith, a 69-year-old woman with coronary artery disease (CAD), the policy was initially applicable as her prognosis met the eligibility criteria. However, her condition improved beyond the six-month life expectancy, leading to a desire to revoke hospice care and pursue curative treatment. This essay aims to provide an overview of the Medicare Hospice Benefit policy, analyze it using the Multiple Streams Framework (MSF), offer recommendations for policy review and revision, discuss social justice

It aims to provide comprehensive and compassionate care for individuals with terminal illnesses, focusing on pain management, symptom control, and emotional support for both patients and their families. To qualify for the benefit, individuals must have a life expectancy of six months or less if the illness progresses as expected and must choose to forgo curative treatment (Rubin, 2015). In the situation involving Barbara Smith, the policy applied initially when her prognosis of coronary artery disease (CAD) indicated a life expectancy of six months or less. As per the policy's requirements, Barbara was referred to hospice care. However, Barbara's condition improved over time, and she expressed a desire to revoke hospice care and pursue curative treatment. This situation raises questions about how the policy's eligibility criteria align with individuals whose prognoses change, highlighting the need for policy evaluation and potential revisions to accommodate such cases.

Policy Analysis Model - Multiple Streams Framework

Training and Education: Policymakers should prioritize education and training programs for healthcare professionals and hospice care providers. These programs should focus on ensuring a clear understanding of policy updates, eligibility criteria, and the importance of regular reassessment of patients' prognoses. Improved knowledge and training will facilitate better decision-making and support for patients and their families (Stacey et al., 2020).

V. Stakeholder Engagement: Policymakers should actively engage stakeholders, including healthcare professionals, patient advocacy groups, and hospice providers, in the policy review and revision process. Their expertise and perspectives are crucial in developing a policy that is responsive to the needs of patients and promotes high-quality end-of-life care. By implementing these recommendations, policymakers can enhance the Medicare Hospice Benefit policy to better serve individuals with changing prognoses and promote patient autonomy and choice in end-of-life care