Elderly patients with severe dementia were less likely to get inappropriate care and more likely to have a do-not-hospitalize order if they were in a Medicare managed care plan as opposed to fee-for-service Medicare, New York University researchers found in an observational study reported in JAMA Internal Medicine. Dr. William Hall of the University of Rochester wrote in a commentary that the fee-for-service payment structure in Medicare and Medicaid "creates perverse incentives against the delivery of appropriate comfort and palliative care such as hospice services."

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