Many physicians already engage in such conversations with patients without charging them additional amounts. In addition, some private insurers have also begun to offer reimbursement for such services. However, making the service voluntary to 55 million Medicare beneficiaries will make such conversations a lot more common .
Three fourth of the people dying in the United States every year are 65 years of age or older and this means Medicare the largest insurer for people at the end of their lives. Many who make policies for Medicare feet that end-of-life counseling holds the key to high-quality care.