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• W2912686799 abstract "•Describe recent payment reform efforts that affect hospice and palliative care delivery.•Identify the opportunities and challenges of recent payment reforms for hospice and palliative care delivery. Serious illness care faces long-standing challenges that are consequences of the fee-for-service reimbursement climate. The hospice care benefit is financially siloed, which clinically has resulted in isolation of hospice care from the rest of the care continuum. This lack of integration has contributed to substantial variation in how hospice care is utilized. Similarly, team-based palliative care is largely regarded as financially unsustainable under a fee-for-service model, despite the abundance of evidence showing palliative care’s positive impact on patient experience and potential averted downstream utilization. However, there are policy indications that the “value over volume” payment movement is starting to engage serious illness care. For example, hospice care is included the expenditure calculations for CMS’s accountable care organization (ACO) models. This panel will address the potential opportunities and implications of value-oriented payment reform for hospice and palliative care, with an emphasis on the current ACO inclusion of hospice care, the response to palliative care models that have been reviewed by the Physician-Focused Payment Model Technical Advisory Committee, the expanded flexibility for Medicare Advantage plans to offer palliative care as a supplemental benefit, and the potential carve-in of hospice into Medicare Advantage. In addition to a general overview of these payment advances, this session will encourage lively discussion with participants about potential implications of these payment changes, and consideration of how delivery models could be affected, adapted, and potentially strengthened as a result. Serious illness care, largely untouched in healthcare reform efforts until recently, will potentially undergo radical changes as it is brought under the microscope of Medicare Advantage plans, ACOs, and risk-bearing entities. This panel explores how the transition towards more accountable, value-oriented reimbursement may impact serious illness care delivery, examining the perspective of payers and providers regarding the unique challenges and opportunities for both hospice and palliative care." @default.
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• W2912686799 date "2019-02-01" @default.
• W2912686799 modified "2023-09-25" @default.
• W2912686799 title "Opportunities and Implications of Payment Reform for Serious Illness Care (TH362)" @default.
• W2912686799 doi "https://doi.org/10.1016/j.jpainsymman.2018.12.083" @default.
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