Building on the field’s 2017 proposal and accounting for both intensity and stability.

Payers and providers across the country have been experimenting with alternative payment models for community-based palliative care, but some have questioned spending the value of an ongoing monthly payment, called “overly generous” by the US Department of Health and Human Services back in 2017. Now researchers at the University of Colorado have devised and tested a two-tier payment approach, one for moderate complexity and one for high complexity, where patients can move between the tiers as their needs stabilize or intensify. Their analysis has been published in the American Journal of Managed Care and is available here.

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