Dementia patient discharged from hospice over Medicare requirement. Here’s why it happened

Dementia patient discharged from hospice over Medicare requirement. Here’s why it happened 
WKMG-6, Deltona, FL; by Erika Briguglio and Louis Bolden; 5/14/25
A Volusia County family is left scrambling after their loved one is abruptly dropped from hospice care. To qualify for hospice, patients must have a life expectancy of six months or less. However, for dementia patients, the prognosis can be unpredictable. Hospice care can be extended as long as the patient continues to meet Medicare requirements. Unfortunately, these requirements are why Amy Yates lost coverage for her 91-year-old grandmother. ... “I think it’s she hasn’t died fast enough, and it’s costing them money that they don’t want to spend,” Yates told News 6. ... What Yates’ family is dealing with is what Medicare calls live discharge, and they are not alone. The Hospice Foundation of America reports that 17% of people in 2022 who were admitted to hospice care were discharged; about 6% of the total caseload was discharged because they no longer met Medicare requirements for care under the hospice benefit.
Editor's note: What are your hospice's stats for live discharges? This factor--with the face-to-face recertification requirement--is crucial. Unfortunately, too many hospices misused President Jimmy Carter's extraordinarily long Length of Stay (LOS) with misleading information about hospice care. These hospices--whether intentional or not--chose to significantly water down end-of-life care and to never mention anything about a basic recertification process. Engaging, user-friendly language can be used with integrity, authenticity, and patient/caregiver empowerment. What messaging does your hospice voice? Do you present a mature, balanced voice, for the sake of the seriously ill person and their family? Or do you ignore the patient/family's timing and choice for the sake of your bottom line, while using up the person's ultimate Medicare days allowed for hospice care? Dig deeply into your data. Dare to examine your organization's motives and outcomes.