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Medicare Plan Switching and Hospice Care Among Decedents With Advanced Cancer | Synapse

March 26, 2026Open Access

Medicare Plan Switching and Hospice Care Among Decedents With Advanced Cancer

Key Points

To evaluate the effects of Medicare plan switching on hospice care settings for decedents with advanced cancer.
Cohort study of Medicare decedents with advanced cancers
Comparison of hospice care locations based on Medicare Advantage (MA) vs. Traditional Medicare (TM) enrollees
Analysis of end-of-life (EOL) care patterns
Continuous MA enrollees received hospice care at home more frequently than those switched to TM
Higher rates of nursing home hospice care were observed among switchers from MA to TM
Plan switching reflects potential access barriers in end-of-life care

Abstract

In this cohort study of Medicare decedents with advanced cancers, continuous MA enrollees were most likely to receive hospice at home, while those who switched from MA to TM more frequently received hospice care in nursing homes. Plan switching near the EOL may reflect access barriers, highlighting the importance of addressing care coordination to improve EOL care.

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Cite This Study

Hu et al. (Tue,) studied this question.

synapsesocial.com/papers/69c4cc02fdc3bde4489174ee https://doi.org/https://doi.org/10.1001/jamanetworkopen.2026.0755

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