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Advance directives and end-of-life care
The impact of 'living wills' on Medicare spending and hospice care
10/13/2011 feature story
Using data from the HRS, Medicare claims, and the National Death Index, Lauren Nicholas, Kenneth Langa, Theodore Iwashyna, and David Weir find that advance directives specifying limitations in end-of-life care were associated with significantly lower levels of Medicare spending, lower likelihood of in-hospital death, and higher use of hospice care in regions characterized by higher levels of end-of-life spending.