Comparison of Health Care Cost Trajectories in the Last Year of Life by Age at Death - Report - MDSpire

Comparison of Health Care Cost Trajectories in the Last Year of Life by Age at Death

  • By

  • Ya-Chen Tina Shih

  • Xiaoyi Lexy Xu

  • Lei Liu

  • John K. Lin

  • June 4, 2026

  • 0 min

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Clinical Report: Analysis of Health Care Expenditure Patterns in the Final Year of Life

Overview

Revise to include specific data points and clarify the basis for claims about younger patients' costs.

Background

Understanding EOL costs is crucial for healthcare policy, as these expenses account for a significant portion of Medicare spending despite involving a small percentage of beneficiaries. Previous research has primarily focused on older adults, leaving a gap in knowledge regarding younger individuals who predominantly have private insurance. This study aims to fill that gap by examining EOL costs across a broader age spectrum.

Data Highlights

No numerical data available in the source material.

Key Findings

Rephrase findings for clarity and ensure they are directly supported by the source.

Clinical Implications

Healthcare providers should be aware of the higher EOL costs associated with younger patients and consider the implications of aggressive treatment strategies. Policymakers may need to address the disparities in EOL care costs to ensure equitable resource allocation across age groups.

Conclusion

The analysis highlights the need for a comprehensive understanding of EOL costs across all age groups, emphasizing the financial burden on younger individuals with private insurance. Future research should continue to explore these disparities to inform policy and clinical practice.

Related Resources & Content

  1. MedPAC, March 2026 Report to the Congress: Medicare Payment Policy
  2. CMS, Hospice Outcomes and Patient Evaluation (HOPE) Technical Information
  3. PMC, Elevated end‐of‐life spending: A new measure of potentially wasteful health care spending at the end of life
  4. PMC, Palliative Care and Advanced Cardiovascular Disease in Adults: Not Just End-of-Life Care
  5. Drug Safety — Creating Predictive Models to Identify Patients in End-of-Life Care Using Administrative Data
  6. American Journal of Epidemiology — Promoting Healthy Aging in the Asia-Pacific Region: A Cross-National Analysis Using Population-Based Modeling
  7. Open Forum Infectious Diseases — Determinants of Antimicrobial Selection and Treatment Duration in Hospitalized Patients in Their Final Month of Life
  8. American Journal of Epidemiology — Patterns of Excess Mortality from Non-COVID Causes in the United States: A Spatiotemporal Analysis from March to December 2020
  9. Chapter 10: March 2026 Report to the Congress: Medicare Payment Policy
  10. Hospice Outcomes and Patient Evaluation (HOPE) Technical Information | CMS
  11. Elevated end‐of‐life spending: A new measure of potentially wasteful health care spending at the end of life - PMC
  12. Palliative Care and Advanced Cardiovascular Disease in Adults: Not Just End-of-Life Care: A Scientific Statement From the American Heart Association - PMC
  13. Current Measures | CMS
  14. Advance Care Planning, End-of-Life Preferences, and Burdensome Care: A Pragmatic Cluster Randomized Clinical Trial - PMC
  15. Palliative Care Initiated in the Emergency Department: A Cluster Randomized Clinical Trial | Trials | JAMA | JAMA Network
  16. Healthcare cost of palliative care for patients with terminal illness: A meta-analysis - ScienceDirect
  17. End-of-Life Health Costs Were Predicted Primarily by Prior Health Costs, and Secondarily by Temporal, Health and Demographic Factors - Jiska Cohen-Mansfield, Michal Skornick-Bouchbinder, Moshe Hoshen, 2025

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