Sunday, April 20, 2014

DHHS Will Pay You $75 to Register Your Advance Directive

Under the Medicare Choices Empowerment and Protection Act (S. 2240), which was introduced this month, the Department of Health & Human Services will pay Medicare beneficiaries $75 to register their advance directives.  

As I have reviewed before, most legislative and regulatory attempts have tried to promote advance care planning by paying clinicians more.  Those efforts failed.  In contrast, the instant bill focuses on providing financial incentives to the beneficiaries themselves.

Basically, DHHS will develop accreditation criteria and accredit certain providers of advance directives.  Once a beneficiary has adopted a certified advance directive, she can register it under the DHHS program and earn the incentive payment.

3 comments:

Carol Cross said...

Of course, HHS knows that the Congress won't change the law and make advanced directives mandatory for Medicare/Medicaid patients ---but if the TRIAL in this same Act is successful, HOSPICE will become mandatory and no longer elective.

All advanced directives are biased toward shortening life or hastening death that does save money in end-of-life care when patients elect/volunteer to surrender their FULL CODE STATUS when hospitalized.

It is primarily the disabled and the aged with shortened life expectancies on Medicare/Medicaid who are targeted for end-of-life savings.

HHS is willing to use tax dollars to entice Medicare/Medicaid and ALL? patients to shorten their lives or hasten their deaths under certain "imagined" future events.

Emergency rooms will then have to sort out patients who will live and patients who will die based on some central data base where your Advanced Directive is registered.

Or, when citizens call 911, will the ambulance refuse to take them into the hospital based on their registered Advanced Directive and just call the Funeral Home or the local Hospice --owned by the Hospital?

The elderly and the disabled on Medicare/Medicaid have been sold out by both political parties.
The epidemic of unilateral covert and overt(default) DNRs continues!

No wonder the Secretary of HHS resigned!






Carol Cross said...

Of course, HHS knows that the Congress won't change the law and make advanced directives mandatory for Medicare/Medicaid patients ---but if the TRIAL in this same Act is successful, HOSPICE will become mandatory and no longer elective.

All advanced directives are biased toward shortening life or hastening death that does save money in end-of-life care when patients elect/volunteer to surrender their FULL CODE STATUS when hospitalized.

It is primarily the disabled and the aged with shortened life expectancies on Medicare/Medicaid who are targeted for end-of-life savings.

HHS is willing to use tax dollars to entice Medicare/Medicaid and ALL? patients to shorten their lives or hasten their deaths under certain "imagined" future events.

Emergency rooms will then have to sort out patients who will live and patients who will die based on some central data base where your Advanced Directive is registered.

Or, when citizens call 911, will the ambulance refuse to take them into the hospital based on their registered Advanced Directive and just call the Funeral Home or the local Hospice --owned by the Hospital?

The elderly and the disabled on Medicare/Medicaid have been sold out by both political parties.
The epidemic of unilateral covert and overt(default) DNRs continues!

No wonder the Secretary of HHS resigned!

Lamar Hankins said...

I would disagree with one statement made by Carol Cross. In Texas, the statutory directives do not appear to have a bias one way or the other. In addition, a person can easily change or countermand, either verbally or in writing, their advance directives if they have the cognitive capacity to do so.