Payment for Hospice Services
The Medicare hospice benefit, enacted by Congress in 1982, is the predominate source of payment for hospice care. More than 88% (2012 NHPCO Facts & Figures) of patient days are covered by Medicare. Other payment sources include Managed Care or Private Insurance, Medicaid (same reimbursement as Medicare), self-pay (private pay), and uncompensated or charity care. There must be a life expectance of six months or less (if the disease runs normal course) and there must be physician certification of limited life expectancy.