How Hospice Care Has Changed and Why It Matters: Fran Smith, Co-author of Changing the Way We Die

About this episode

The episode discusses the changes in hospice care in the US and their implications for healthcare workers, patients, and families.

Hospice care in the US has undergone major shifts in recent years, with a significant jump in usage and a 400% increase in private equity ownership as major factors driving it to become the most profitable subsector in healthcare, according to a 2023 RAND Corporation study. To understand these trends what they mean for healthcare workers, patients and families, we turn to Fran Smith, co-author of Changing the Way We Die: Compassionate End of Life Care and the Hospice Movement, an Amazon bestseller. As she explains to Futuro Health CEO Van Ton-Quinlivan, what started as a non-profit, mission-driven movement has evolved into an industry dominated by for-profit entities -- including a growing percentage backed by private equity -- with major implications for quality and consistency of care. “There is some data showing that staffing is poor at privately owned and private equity hospices compared to nonprofits, and that the for-profit hospice companies use more licensed practical nurses than registered nurses,” she explains. And while Smith believes it’s better for there to be a mix of business models in the sector, she does advise that people seeking hospice care evaluate their…

People in this episode

Host: Van Ton-Quinlivan

Guest: Fran Smith

Topics covered

• hospice care
• healthcare trends
• end-of-life care
• private equity
• patient care

Keywords

• hospice care
• private equity
• healthcare
• end-of-life wishes
• patient care

Mentioned in this episode

Organizations: RAND Corporation, medicare.gov

Books & works: Changing the Way We Die

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