Palliative Care Payment Model on the Not-So-Distant Horizon
Allison Silvers, MBA, CAPC's vice president of payment and policy, was interviewed by McKnight's Senior Living about Center for Medicare and Medicaid Innovation (CMMI)'s potential demonstration payment model covering community-based palliative care. The article explains that while many private insurance plans, including Medicare Advantage plans, support palliative care through alternative payment, traditional Medicare does not, forcing providers to rely on fee-for-service billing that does not adequately compensate for the time palliative care conversations take nor the multiple team members.
Per Allison, “Why these payment models are so important is because they sidestep the fee-for-service billing entirely. That way you can set up payment for palliative care services that pay the entire team.”