Change without Change? Assessing Medicare Reimbursement for Advance Care Planning

Research output: Contribution to journalComment/debatepeer-review

9 Scopus citations


In January 2016, Medicare began reimbursing clinicians for time spent engaging in advance care planning with their patients or patients’ surrogates. Such planning involves discussions of the care an individual would want to receive should he or she one day lose the capacity to make health care decisions or have conversations with a surrogate about, for example, end-of-life wishes. Clinicians can be reimbursed for face-to-face explanation and discussion of care and advance directives and for the completion of advance care planning forms. Although it seems that political barriers to reimbursement for such planning have largely faded, the Medicare policy's impact on provider billing practices appears to be limited, suggesting other barriers to clinician engagement in advance care planning. Additionally, the effects of this policy on patient behavior and the clinician-patient relationship are not yet known.

Original languageEnglish (US)
Pages (from-to)8-9
Number of pages2
JournalHastings Center Report
Issue number3
StatePublished - May 1 2018

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Issues, ethics and legal aspects
  • Philosophy
  • Health Policy


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