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Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness: A Workshop

Completed

Millions of people in the United States live with serious illnesses, often for many years. Those facing serious illness have a range of interconnected medical and non-medical needs, and the way their care is financed has a large impact on the care they receive. In an effort to address the complex needs of people with serious illness, public and private health care payers are testing innovative financing strategies and alternative payment models.

Description

An ad hoc committee will plan and host a one-day public workshop that will examine how various financing and payment approaches can help support delivery of high-quality care for serious illness.

The workshop will feature invited presentations and panel discussions on topics that may include:

· Integrated financing models such as Medicare Advantage programs, Program of All-Inclusive Care for the Elderly (PACE) and risk-based payment approaches such as Accountable Care Organizations (ACO) and bundled payments

· Programs such as the Medicare hospice benefit, Medicare Home Health Care, Medicaid Home Health Care, and financing and payment methods for the dual eligible population

· Incorporation of performance metrics in payment models, such as pay for performance and performance incentives

· Potential policy steps to address key gaps, challenges and opportunities related to financing and payment models to support high-quality care for serious illness

The committee will develop the agenda for the workshop sessions, select and invite speakers and discussants and moderate the discussions. A proceedings of the presentations and discussions of the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.

Collaborators

Sponsors

Aetna (different from the Aetna Foundation)

Altarum Institute

American Academy Of Hospice And Palliative Medicine

American Cancer Society

American Geriatrics Society

Anthem

Ascension Health

Association of Professional Chaplains

Association of Rehabilitation Nurses

Blue Cross and Blue Shield of North Carolina

Blue Cross Blue Shield Association

Blue Cross Blue Shield of Massachusetts

Bristol Myers Squibb

California state university institute for palliative care

Cambia Health Solutions

Cedars-Sinai Health System

Center to Advance Palliative Care

Centers for Medicare & Medicaid Services

Coalition to Transform Advanced Care

Excellus BlueCross BlueShield

Federation of American Hospitals

Gordon and Betty Moore Foundation

Hospice and Palliative Nurses Association

Kaiser Permanente

National Academy of Medicine

National Coalition for Hospice and Palliative Care

National Hospice and Palliative Care Organization

National Palliative Care Research Center

National Patient Advocate Foundation

National Quality Forum

New York Academy of Medicine

Oncology Nursing Society

Patient-Centered Outcomes Research Institute

Social Work Hospice and Palliative Care Network

Supportive Care Coalition

Susan G. Komen

The Greenwall Foundation

The John A. Hartford Foundation

Staff

Laurene Graig

Lead

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