Assessment of First-Year Use of Medicare’s Advance Care Planning Billing Codes | End of Life | JAMA Internal Medicine | JAMA Network
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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. 2019;179(6):827-829. 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.