Rural-Urban Differences in Medicare Service Use and Expenditures in the Last Six Months of Life

Research center:
Lead researcher:
Project funded:
September 2014
Project completed:
August 2017

Patterns of end-of-life care are known to vary by rurality and by minority status, and the availability of facilities such as hospice also vary with rurality. This study will examine the relationship between level of service use during the last six months of life and facility availability in county of residence (hospital, SNF, IRF, home health, hospice), as well as minority status of the beneficiary and whether the beneficiary is also eligible for Medicaid ("dual eligible").