The Florida Legislature
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Office of Program Policy Analysis and Government Accountability

Florida’s Certificate of Need Process Ensures Qualified Hospice Programs; Performance Reporting Is Important to Assess Hospice Quality, Report No. 06-29, March 2006
 
Full report in PDF format


  • Hospice care is an alternative to the traditional medical model for end-of-life care.  Florida’s hospice programs provide professional medical services to help patients die peacefully and painlessly.  These services are available to any patient who meets certain diagnostic criteria, regardless of ability to pay.  In 2004-05, the majority of patients served by Florida hospices were age 65 and older and more than one-third were diagnosed with cancer.  Medicare and Medicaid reimbursed 93% of patient care costs, with another 4.5% paid by private health insurance and self-pay patients.  The remaining 2.5% of patient care costs was covered by hospice programs as charity care.   
  • Florida’s method of regulating hospice programs differs from other states in two major ways.  Florida is the only state that requires new hospice programs to operate as not-for-profit corporations, and is 1 of 12 states that comprehensively regulates the growth of hospice programs using a Certificate of Need process.  Should the Legislature decide to allow new for-profit hospice programs to operate in Florida, it should continue to require that new programs be approved through the Certificate of Need process.

Which Government Program Summaries contain related information?

AHCA Health Quality Assurance

What other OPPAGA-related materials are available?

  • Report No. 10-09 Number of For-Profit Hospices Has Grown; Current Measures and Standards Are Not Sufficient to Assess Hospice Quality,published in January 2010.

Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
e-mail address: oppaga@oppaga.fl.gov


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