End of Life Spending -- 4 Trajectories (image) University of Michigan Health System Share Print E-Mail Caption In the study of Medicare data, four clear trajectories emerged for spending on healthcare in the last year of life. The highest total spending was for people in the "high persistent" group, who had large numbers of hospital and doctor visits related to multiple chronic conditions. Credit Health Affairs Usage Restrictions Credit Health Affairs Share Print E-Mail Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.