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Research Letter
March 11, 2019

Assessment of First-Year Use of Medicare’s Advance Care Planning Billing Codes

Author Affiliations
  • 1Healthcentric Advisors, Providence, Rhode Island
  • 2Department of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
  • 3Department of Medicine, Alpert Medical School of Brown University, Providence, Rhode Island
JAMA Intern Med. Published online March 11, 2019. doi:10.1001/jamainternmed.2018.8107

Advance care planning (ACP) conversations occur infrequently among patients and their health care professionals, and when they do occur, the context is often a stressful clinical situation.1,2 Advance care planning conversations that occur too late (or not at all) can result in care that is invasive, expensive, and not aligned with patients’ wishes. To encourage health care professionals to initiate ACP discussions, Medicare began reimbursing for ACP services on January 1, 2016, under a separate billing code. Our study aims to characterize the first year of ACP code use and to describe beneficiary characteristics associated with receipt of ACP services.

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