How are Provider Organizations Adopting Specialized Palliative Care to Effectively Manage a Serious or Advanced Illness
Statistics just released in September 2018 from the U.S. Census Bureau sound an alarm for provider organizations that are challenged to take on the dual role of caring for seniors and functioning like health plans and other payers, such as health systems, provider risk-bearing entities, Medicare Advantage plans, Medicaid and dual eligible plans, managed long term services and supports, and commercial payers.
A tsunami is coming: By 2030, all baby boomers will be older than age 65, expanding the size of the older population so that one in every five residents will be retirement age. With this expansion comes a greater number of seniors requiring coverage, many of whom will experience a serious or advanced illness requiring more extensive healthcare services.
Recognizing this challenge, health systems need solutions that help them to manage both cost and quality of care. In response, Turn-Key authors point to the value of specialized palliative care for provider organizations to improve care quality, enhance the patient experience, and lower cost burdens.
Role of Community-based Palliative Care
This white paper examines the blurring lines between payers and providers, highlighting the role of an innovative, community-based model that leverages palliative care: specialized care for seriously ill members that provides relief from symptoms and stress, and offers medication management, care coordination and other support to improve quality of life for both the patient and the family.
Readers will gain a better understanding of the opportunities for provider organizations to push beyond the traditional confines of referral-based, in-hospital palliative care to a home-based approach. This white paper includes analysis of the 12-18-month time period during the last stages of a serious or advanced illness, and its impact on provider entities as described earlier.
Meeting the Challenges Impacting Quality and Cost
In their quest to improve member outcomes and the patient experience, while lowering their expenses, organizations encounter challenges that are magnified by this fast-growth senior population — a fragile, vulnerable group that requires a more focused approach to effectively address the multitude of issues impacting cost and quality of care.
Learn more about the benefits of a population health approach to community-based palliative care: earlier identification and engagement through predictive analytics/AI; structured, consistent, effective engagement with members and caregivers; streamlined care coordination, communication and reporting of patient progress to treating physicians and the medical home; programmatic accountability and scalability for larger populations across broad diverse geographic regions.
Gain insight into current and historical challenges associated with managing advanced illness and learn about the advantages of pushing beyond the traditional confines of referral-based palliative care to a structured population health approach that truly enables a palliative medical home model.
Turn-Key’s Palliative Illness Management (PIM) offers a vast, proprietary network of palliative care professionals to provide supportive home-based assessments and interventions.
Our model is designed to communicate relevant information to the primary treating physician / medical home and foster better communication, ensuring that care delivery is aligned with patient goals.