Improving the Care of Serious Illness through Innovative Payer-Provider Partnerships: A Palliative Care Toolkit and Resource Guide

Increasing numbers of health plans and risk-bearing providers are seeking to integrate palliative care into the care of members and patients with serious illness, thanks in part to the successes of early adopter organizations like Aetna, Regence BlueCross BlueShield, Kaiser Permanente, Optum, Highmark, Northwell Health, and others. From these examples, CAPC created the first-of-its-kind, Payer-Provider Toolkit: Improving Care for People with Serious Illness through Innovative Payer-Provider Partnerships.

The Payer-Provider Toolkit:

  • Defines palliative care and demonstrates its value 
  • Articulates essential clinical skills and structural characteristics of high-value palliative care
  • Identifies opportunities to integrate palliative care into payer programs and products
  • Highlights case examples from industry leaders 
  • Provides summaries, checklists, action plans, and resources to get new payers started


"We believe the initiatives [noted in the Toolkit] will greatly enhance quality while creating a community of care that ensures each person’s values and goals of care are expressed, understood, and honored.”
Mark Ganz, JD
CEO, Cambia Health Solutions

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