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nursing services were added. With certification, Medicare and Medicaid patients had access to <br /> the Medicare/Medicaid Hospice Benefit that provides reimbursement for comprehensive hospice <br /> services provided to patients and families. <br /> Before Medicare certification, HospiceCare was supported entirely by community funding. <br /> Since its inception, HospiceCare has upheld a policy to serve all terminally ill patients regardless <br /> of insurance reimbursement or ability to pay. After Medicare/Medicaid certification, the need <br /> for community support remained because of this policy. Continued community support is <br /> essential so that HospiceCare may continue to serve patients who are not Medicare-eligible, who <br /> do not have adequate insurance or personal resources, or whose cost of care exceeds Medicare <br /> reimbursement. <br /> To raise community awareness and funds for hospice services while celebrating life, <br /> HospiceCare launched its first community-wide special event, "Light Up A Life," in December, <br /> 1986. Eighteen hundred lights were lit, each representing a$10 contribution in honor of a <br /> specific person, memorializing loved ones and providing funds to allow HospiceCare to help <br /> "light up" other lives. <br /> In its early stages, HospiceCare was unable to serve patients who were without a caregiver in the <br /> home. The Board of Directors recognized that HospiceCare must do whatever was necessary to <br /> provide hospice services to terminally ill people in these situations. In 1991, a major <br /> commitment was made to care for people without caregivers and those whose caregivers are <br /> physically or emotionally unable to care for the patient. This commitment continues today. In <br /> 1997, 26 percent of HospiceCare patients did not have a caregiver or had a caregiver with limited <br /> ability to provide assistance. <br /> In July 1995, after two years of deliberation, HospiceCare merged with Hospice Team Care of <br /> Janesville. With compatible missions and philosophies of service, the union of the separate <br /> entities led to maximum use of organizational resources. Both communities have benefited <br /> greatly from the merger. HospiceCare Inc. now provides clinical expertise and end-of-life <br /> education to greater numbers of people more efficiently and effectively. <br /> IV. HospiceCare Inc. Today <br /> HospiceCare Inc. serves greater South Central Wisconsin and is the only nonprofit hospice <br /> provider in Dane County. It has a professional staff of 120 employees, more than 500 <br /> volunteers, a $5 million budget and assets over $1 million. Patients with any terminal illness <br /> with a prognosis of 12 months or less to live and who no longer seek aggressive, curative <br /> treatment are eligible for HospiceCare services. Both cancer and non-cancer patients are <br /> appropriate for hospice. In 1995, 62 percent of all Dane County patients who died of cancer <br /> received HospiceCare services. At times during 1997, half of HospiceCare patients had a <br /> diagnosis other than cancer. Hospice care neither hastens nor postpones death; it manages pain <br /> and other symptoms so that patients may live as fully as possible until they die. <br />