A health care policy that puts the ending first


The Medicare system is struggling with rising costs and a rapidly aging population, but one solution to the issue might be to encourage people to lay out end-of-life plans and wishes before a health crisis. The Providence St. Joseph health care system is piloting an effort to do just that, working through the barriers to end-of-life planning with financial incentives, comprehensive data, and targeted efforts to make advanced directives, also known as living wills, more common. So far, the initiative has seen "slightly more than 13 percent [of patients] complete [and record] an advance directive."

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