What You’ll Learn

Many of our nation’s leaders hope to change our health care system to reward “value over volume.” Value is defined by the equation of quality over cost, so a high-value intervention improves quality of care while reducing cost. After completing this course, learners will be able to identify how quality gets baked into some of the more common value-based and alternative payment models, and strategize how to balance priorities, particularly when they have a “foot in the two canoes” of fee-for-service and value-based payment.

Learning outcomes for this course include:

  1. Delineate between the terms value-based payment, alternative payment, and accountable care organization
  2. Explain 3 ways that quality measures are used in health care payment
  3. Identify 3 common alternative payment models
  4. Discuss 4 strategies for successful program leadership in a combined value-based and fee-for-service program

What You’ll Earn

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Tools & Resources

Payment Quick Tips: Value-Based Payment Introduction
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Monograph introducing value-based payment and its implications for palliative care.

Payment Quick Tips: Value-Based Payment Capabilities
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Monograph outlining the leadership and operational competencies that palliative care teams need to succeed under value-based payment.

Financial Toxicity Position Statement

The consequences of financial toxicity—a term that captures the physical, material, and financial burdens that result from the high costs of medical care—are staggering, manifesting in high debt, low credit scores, and bankruptcy. Financial toxicity can also lead to delayed treatment, skipped medications, and other cost-related coping mechanisms—worsening health outcomes and increasing costs for hospitals and payers alike. CAPC's position statement recommends proven strategies that can ease hardship for patients and caregivers, while improving financial stability for patients and hospitals.

Value-Based Payment and Alternative Payment Models Course References
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Course References

Navigating Payment Models: What Palliative Care Teams Need to Know

A practical overview of health care payment models, covering key features, how to identify the model you're working under, and ways to optimize palliative care within each.

Value-Based Payment: Building a Financially Sustainable Palliative Care Service

Tools to develop financial partnerships including: making the case, contracting considerations, and how to use legal and financial advisers.

Check back soon.

Diane E. Meier, MD, FACP, FAAHPM. Founder, Director Emerita and Strategic Medical Advisor, Center to Advance Palliative Care Co-director, Patty and Jay Baker National Palliative Care Center Professor, Department of Geriatrics and Palliative Medicine Catherine Gaisman Professor of Medical Ethics, Icahn School of Medicine at Mount Sinai.

Allison Silvers, MBA. Director, Health Care Transformation, Center to Advance Palliative Care.

Stacie Sinclair, MPP. Associate Director, Policy and Care Transformation, Center to Advance Palliative Care.

Karen Bullock, PhD, LICSW, APHSW-C. Ahearn Endowed Professor, Boston College School of Social Work.

Brittany Chambers, MPH, MCHES. Director, Health Equity and Special Initiatives, Center to Advance Palliative Care.

Philip Solomon, MD. Director, Geriatrics Education and Clinical Integration; Program Director, Geriatrics Fellowship; Division of Geriatrics and Palliative Medicine, Associate Professor, Zucker School of Medicine at Hofstra/Northwell.

Donna Stevens, MHA. Consultant, Center to Advance Palliative Care.

Contact information: For answers to frequently asked questions about CAPC courses and CEs, read the Online Course FAQ. For all other questions, please contact support.

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Overview of U.S. Health Care Payment and Policy

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Understand how Medicare, Medicaid, and private payers share responsibility for health care costs, and the financial impact on patients and families.

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Medicare and Medicare Advantage: How they Work and the Impact on Care Delivery

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Examine what Medicare does and doesn't cover, while exploring the rise of Medicare Advantage and its impact on patients and providers.

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Medicaid, Veterans Health, and Long-Term Services and Supports

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Learn how Medicaid and VA benefits support vulnerable patients and families needing palliative care, and who qualifies for these programs.

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