• Demonstrate their commitment to members with a serious or advanced illness
• Assess their programs for palliative care
• Evaluate the value that they bring to your customers
• Determine the effectiveness of their focus on delivering quality care while balancing cost

Escalating costs for payers

will quadruple 5 percent of beneficiaries in their last year of life recent study

• 48.7 percent (nearly half) of older Medicare beneficiaries were classified as “high persistent,” maintaining high spending throughout the year;
• 10.2 percent showed a “progressive” pattern, starting low but increasing steeply;
• 29.0 percent of decedents were “moderate persistent,” mimicking the “high persistent” pattern except for a spending dip a few months prior to death;
• 12.1 percent of the sample exhibited a “late rise” in the final four months of life after very low spending in the earlier months of that final year.

Palliative care benefits payers and members

New England Journal of Medicine nearly three months longer National Center for Biotechnology Information

• Focuses on care coordination across all settings
• Emphasizes ongoing support at home
• Ensures advance care planning
• Engages physicians and other care providers
• Provides integrated, dedicated, interdisciplinary, team-based care
• Establishes goals of care
• Addresses needs of those who are ineligible or those who refuse hospice
• Identifies gaps in care
• Provides pain and symptom relief
• Facilitates disease understanding and self-management
• Offers psycho-social support

• Primary and secondary diagnoses
• Medical and hospitalization/ED history
• Functional status and activities of daily living
• Symptom assessment
• Medication review; adherence assessment
• Adequacy of home, family, safety and financial supports
• Patient's understanding of illness
• Goals of care/Advance Care Planning
• Services in place or needed
• Patient risk evaluation
• Palliative Plan of Care

Relief for working caregivers

to accommodate their caregiving duties to cope with the caregiving experience support caregivers |

Advance care planning

• Getting information on the types of life-sustaining treatments that are available.
• Deciding what types of treatment one would or would not want if diagnosed with a life-limiting illness.
• Sharing one's personal values with loved ones.
• Completing advance directives to put into writing what types of treatment one would or would not want should one be unable to speak for oneself.

Source: https://www.nhpco.org/advance-care-planning |

Value of a specialized solution

focus on comfort and quality of life |

Innovate and differentiate services