Palliative Care through a Dementia Lens

Topic: Specific Patient Populations

 

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Cambia Health Solutions has implemented a health plan based serious illness services program for the 2.2 million members we serve, with an approach focused on respecting the patient’s wishes, from diagnosis to completion of life. This program puts the patient at the center while remaining inclusive of the entire health care community.  New health care services, benefits, training and education have been created to ensure the entire health care system is engaged in putting the patient and their loved ones at the center – supporting the individual and family in their medical, psychosocial, behavioral and spiritual needs. In addition, we provide necessary support and resources to caregivers and loved ones dealing with the serious illness of a loved one or in need of grief or bereavement counseling. Cambia has focused its efforts in integrating five main areas: benefit expansion, specialized care management, community and member engagement, provider reimbursement and training, and caregiver support. This presentation will provide our framework and implementation of this program, providing a structure for other payers to use in development of palliative care initiatives. We will represent initiatives within and outside of our Accountable Care Organization agreements. Example metrics and baseline statistics will also be presented.

Author

  • Ann Wyatt, MSW
  • Alzheimer's Association, New York City Chapter
  • 360 Lexington Avenue, 4th Floor
  • New York, NY 10017
  • 646-744-2963

Co-authors

  • Ann Wyatt, MSW
  • Audrey Weiner, CEO
  • Carol O. Long, PhD
  • Edward Cisek, PhD
  • Jed Levine, MA
  • Karen Mitchell, BSN
  • Mark Heisler, PharmD
  • Mark Kator, CEO
  • Natasha Bryant, MS
  • Robert Hess, PhD
  • Robyn I. Stone, DrPH
  • Tena Alonzo, MA
  • Tony Lewis, CEO

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