Including 4 challenges for improving care, which, if faced, would reduce uncertainty, risk, and costs.

Improving care for patients with serious illness requires building reliable supports across settings and over time. In this North Carolina Medical Journal article, Lynn Hill Spragens discusses how consistency of payers' approaches can simplify and accelerate provider-based solutions. Additionally, she explains that early attention to predictable challenges, and shared principles, can provide design guidance for more sustainable solutions.

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