This reference guide summarizes a set of curated resources to help key stakeholders better understand both the needs of the dually eligible population and emerging evidence and practical approaches for advancing Medicare-Medicaid integration.
Describes the needs of distinct subpopulations within the dually eligible population with highly complex needs, along with opportunities for tailored interventions that may reduce health care spending.
Highlights experiences from the Center to Advance Palliative Care’s Medicare Advantage and ACO Learning Communities with strategies for improving serious illness care, as well as resources that health plans and ACOs can use to drive better value and improve the quality of life for those living with serious illness.
Describes how two health plans — Anthem, Inc. and Highmark Blue Cross Blue Shield —organizations introduced a palliative care measure into their hospital value-based payment programs, which has led to significant improvements in access to palliative care for their seriously ill members.
Describes Summit Medical Group’s experience integrating palliative care services and offers advice for other ACOs that are struggling to expand palliative care services and looking for a path forward.
Rachelle Bernacki, MD, discusses developing, implementing, and scaling the Serious Illness Care Program at Ariadne Labs, including a few surprises and challenges from along the way.