Most programs combine several funding sources that can include billing revenue, investment by the home organization, partnership with health plans, and/or grants and philanthropy.
Use this toolkit to learn about financing strategies for inpatient and community-based programs, designing a business plan and budget, building financial partnerships, and operating efficiently so as to control costs while delivering high-quality care.
The basics of health care payment.
Monograph introducing U.S. health insurance with a focus on Medicare and what it means for palliative care.
Monograph introducing value-based payment and its implications for palliative care.
Defines key terms in payment vocabulary.
Financing methods for the palliative care program, including billing revenue, investment by the home organization, partnership with health plans, and/or grants and philanthropy. To learn how to make the case to financial stakeholders, see the related CAPC toolkits at the bottom of this page.
Toolkit with billing and coding best practices for palliative care services delivered in the hospital or the community.
These tools can be used to make the case for palliative care investment with organization leaders, health plans, colleagues, and community partners.
A presentation clarifying how to present and request philanthropic funding for your palliative care program.
Navigating financing strategies for hospice-led palliative care, including Medicare fee-for-service, payment contracts, organizational support, and philanthropy.
Watch this CAPC on-demand webinar, Alternative Payment for Palliative Care: Getting from Here to There Webinar Recording.
Financial blueprint for supporting rural services. Stratis Health.
A sustainable business plan depends upon making realistic assumptions about patient volume and staff capacity.
Estimate patient volume using national comparative data from the CAPC National Palliative Care Registry. Center to Advance Palliative Care, 2015.
Project staffing FTE per discipline based on expected patient volumes. Center to Advance Palliative Care, 2015.
Using service volume and staffing estimates to project program costs.
Free, interactive tool to help you estimate savings attributable to your hospital palliative care team.
Customizable workbook for community-based programs to create cost projections and key financial stats.
Qualitative explanation of budgeting and finding opportunities for cost-efficiency.
Translate service, staffing, cost, and billing revenue projections into a budget and business plan.
Building a budget and a business plan for the inpatient program. Includes business planning tools.
Training and a template for creating a business plan for your inpatient service.
Annotated budget worksheet that can be customized based on your program's patient, service, and staffing assumptions.
Building a budget and a business plan for the community-based program. Includes business planning tools.
Presentation on business planning fundamentals.
Meet quality standards while optimizing efficiency in order to meet the assumptions you have laid out in your business plan.
Improving productivity and efficiency to ensure team health and operating within budget.
Guidance for contracting with health plans or other entities to secure funding your palliative care program.
Introduction to building partnerships that can financially support palliative care programs.
Monograph outlining the leadership and operational competencies that palliative care teams need to succeed under value-based payment.
How to find and select key consultants for financial relationships.
Harvard Business Review on developing and nurturing business relationships.
Lessons from CAPC Payment Accelerator alumni on building financial relationships with health plans and ACOs.
Key contract clauses including term, termination, quality reporting parameters, and risk corridors.
Compliance issues and considerations for programs working with financial partners.
Contract strategies and protections for reducing downside risk, such as exclusion of outliers and stop-loss provisions.
The "Memorandum of Understanding" (MOU) is a brief document that outlines mutual responsibilities. Follow this outline to draft an MOU (must be reviewed by legal counsel).
Founder, Director Emerita and Strategic Medical Advisor, Center to Advance Palliative Care
Partner
Spragens & Gualtieri-Reed
Chief Health Care Transformation Officer
Founder and Managing Partner
TF Analytics
Member
Epstein Becker Green
