Dying or Lying? For-Profit Hospices and End of Life Care

Gruber, Jonathan; Howard, David M.; Leder-Luis, Jetson; Caputi, Theodore L.

doi:10.3386/w31035

2023

DOI: 10.3386/w31035

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Dying or Lying? For-Profit Hospices and End of Life Care

Jonathan Gruber¹,

David M. Howard²,

Jetson Leder-Luis³

et al.

Abstract: At least one co-author has disclosed additional relationships of potential relevance for this research. Further information is available online at http://www.nber.org/papers/w31035 NBER working papers are circulated for discussion and comment purposes. They have not been peerreviewed or been subject to the review by the NBER Board of Directors that accompanies official NBER publications.

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Cited by 3 publications

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Hospice Fraud: Predicting Ability and Intent

Waters,

Wright

2024

Illness, Crisis & Loss

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Hospice fraud is a growing concern around the world. Yet, little attention has been given to the study of hospice fraud in the extant literature. Existing literature highlights fraud exposure related to hospice payment structures, the factors that contribute to fraud, and the innate personality traits of fraudsters. Typically, however, the traits of fraudsters do not align with the public image of hospice professionals. This misalignment suggests the need for valid and reliable instruments designed to measure fraud ability and intent. In this article, the psychometric properties of two valid and reliable tools are examined, one designed to measure fraud rationalization, and the other was designed to measure fraud intent. Both tools are psychometrically sound, but further investigation into the phenomenon of hospice fraud using these tools is warranted as they are newly developed. Investigation into the use of the tools in practice settings is also an avenue for further inquiry.

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Hospice Fraud: Predicting Ability and Intent

Waters,

Wright

2024

Illness, Crisis & Loss

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Provider Payment Incentives: Evidence from the U.S. Hospice Industry

Coe,

Rosenkranz

2023

SSRN Journal

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Charting the 21st Century Rise of For-Profit Residential Child Care

Sen,

Ulybina,

Holmes

2024

Youth

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This article explores the increasing prevalence of for-profit residential care, with a particular focus on Great Britain, while also drawing on the international evidence from the Global North. Comprising a critical review of the published evidence (both academic and grey literature), the article seeks to examine what might explain the rising prevalence of and the possible associated impacts of the increase in for-profit provision. The findings indicate that the rise of for profit-companies among residential child care providers appears to have occurred by default, rather than explicit policy design. Our analysis also highlights gaps in the knowledge base about the quality of care and whether better quality is associated with the type of provider. Furthermore, the relationships between provider, quality, cost and outcomes are unclear. There are inconsistencies in the evidence base, with different conclusions being reached. However, available evidence tends to suggest the increased prevalence of for-profit residential child care providers has had an overall negative, rather than positive, effect. The best case in favour of the continued use of for-profit residential care is currently a non-moral pragmatic one: that in countries with medium and high prevalence of the use of residential child care, it would be hard to sustain care systems if for-profit providers were to suddenly withdraw or be withdrawn.

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Dying or Lying? For-Profit Hospices and End of Life Care

Cited by 3 publications

References 29 publications

Hospice Fraud: Predicting Ability and Intent

Hospice Fraud: Predicting Ability and Intent

Provider Payment Incentives: Evidence from the U.S. Hospice Industry

Charting the 21st Century Rise of For-Profit Residential Child Care

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