The 11.2 million undocumented immigrants living in the United States are not covered by the Medicare Hospice Benefit, and most are uninsured.1,2 Aging of undocumented patients owing to increasing lengths of residence1 in the United States is likely to increase hospice demand, and undocumented immigrants are the largest demographic group explicitly excluded from Affordable Care Act provisions.3 Clinicians have reported challenges in obtaining hospice for undocumented immigrants4; however, little is known about hospice access in this population. Therefore, this study examined hospice agency practices and access for undocumented immigrants.
Gray NA, Boucher NA, Kuchibhatla M, Johnson KS. Hospice Access for Undocumented Immigrants. JAMA Intern Med. Published online February 06, 2017. doi:10.1001/jamainternmed.2016.8870