Resources for Health Plans
Last Reviewed: March 4, 2019Access to palliative care services results in improvement on quality measures, reduction in spending, and relief of suffering for members and their families. In addition to the general guidance and case studies available in CAPC’s Population Management and Palliative Care toolkit, health plans can use the resources below to develop new programs and benefits for members with serious illness while simultaneously driving improvements throughout their provider network.
What’s in the Toolkit
Specialty Palliative Care Services and Benefits
Guidance and tools to ensure access to specialty palliative care services for members living with serious illness.
Guidance on Benefit Design
Last Updated: February 3, 2019Modifying existing benefits and adding new benefits.
download
Payment Arrangements Options
Last Updated: February 3, 2019Overview of the payment arrangements that currently exist for palliative care services.
members loginMedicare Advantage Flexibility: Improving Care for Seriously Ill Beneficiaries
Last Updated: February 3, 2019Specific actions for plans looking to improve value-based design or expand supplemental benefits. Health Affairs, July 2018.
view
ROI Calculator for a Home-Based Palliative Care Program
Last Updated: February 3, 2019Calculates return on investment, based on the home-based palliative care program assumptions. CAPC Payment Accelerator, reviewed 2018.
members login
Building an Actuarial Model for Home-Based Palliative Care
Last Updated: February 3, 2019Presentation to Society of Actuaries on calculations for case rate payment.
members loginPurchaser Toolkit for High-Quality Serious Illness Care
Last Updated: February 3, 2019Tools for employers and other stakeholders to specify required benefits and network competencies. Catalyst for Payment Reform and Center to Advance Palliative Care, 2018.
viewProvider Network Strategies
Resources for identifying in-network or regional palliative care specialists, and for improving the communication and symptom management skills of all network providers.
Guidance on Provider Network Strategies
Last Updated: February 3, 2019Improving network competencies and identifying palliative care specialists.
downloadGuidance on Payment and Incentives
Last Updated: February 3, 2019Implementing network competency incentive programs and paying for specialty palliative care.
downloadRecommended Standards for Hospitals and SNFs
Last Updated: January 29, 2019Structures and processes that all hospitals and skilled nursing facilities need to assure access to high-quality care for people with serious illness.
downloadInnovative Approaches to Caring for Complex Patient Populations: The Community Paramedicine Experience
Last Updated: February 26, 2019 watchIdentification and Case Management Strategies
Tools and protocols for proactively identifying rising-risk members with serious illness, and improving case management interventions to ensure the right services at the right time for members living with serious illness.
Patient Identification and Assessment
Last Updated: March 4, 2019Toolkit for finding the right patients at the right time to address gaps in care.
viewCase Managers: Addressing the Unique Needs of Patients with Serious Illness
Last Updated: March 4, 2019 view
