Crossroads of Care: Managing Serious Illness in the Home (Session 4 of 4)

Description

With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients further upstream that can improve outcomes and reduce cost. If you’re working in a fee-for-service (FFS) model, you bill each time you provide a service without the opportunity to be paid on quality outcomes. As a result, the financial resources to enhance your patients’ quality of life may be limited. Value-based payment arrangements are increasingly common, and the prevalence of payer contracts recognizing the value of home-centered care for homebound, seriously ill patients has been a game changer. During this session, Contracting with Payers to Demonstrate the Value of Home-Centered Care (last in a four-part series), you will learn strategies to demonstrate the value of home-based primary and palliative care when negotiating with payers, and to ultimately secure the necessary funding to support high-needs patients and maintain your program’s financial sustainability.

Learning Objectives

Upon completion, you will be able to do the following:

List the various payer types relevant to home-based primary care (HBPriC) and home-based palliative care (HBPalC) and distinguish between the characteristics of each.

Identify the key individuals to connect with when negotiating contracts.

Demonstrate the value of your home-centered care services through presentation of quality of care metrics, utilization and outcomes data, and compelling patient stories.

Audience

This session is primarily intended for health system leaders, payers, and administrators or providers from hospice/palliative and primary care programs that are considering adding or expanding service lines to their home-based practices.

Faculty

Paul Chiang, MD
Senior Medical and Practice Advisor, Home Centered Care Institute (HCCI)
Medical Director, Northwestern Medicine HomeCare Physicians

J. Cameron Muir, MD, FAAHPM
Founder and Principal, Cameron Muir Consulting, LLC
Chief Innovation Officer, National Partnership for Healthcare and Hospice Innovation

Amanda Tufano, MHA, FACHE, CMPE Former Chief Executive Officer, Genevive

Acknowledgement

The Home Centered Care Institute gratefully acknowledges support for this activity in the form of a grant from Elea Institute, dedicated to advancing care for people with serious illness. Learn more at eleainstitute.org.

Additional Resources

Session #4 Slides

Minerva Case