Hospice News May 1, 2023
By Markisan Naso

Recognition of palliative care’s value has been steadily gaining among stakeholders in the form of improved patient outcomes and cost savings through reduced hospitalizations.

But despite the upswing in profile, insurance coverage and payment for palliative services remain difficult to come by. Traditional Medicare only covers physician consults and doesn’t support the full range of interdisciplinary care.

Two emerging pathways to payment include supplemental benefits within Medicare Advantage and relationships with Accountable Care Organizations (ACOs).

Partnering with ACOs can give palliative providers an opportunity to be paid properly for the full scope of what they do, according to Sue Lyn Schramm, founder and principal of Schramm Consulting, LLC.

“The reimbursement through Medicare’s fee-for-service program is terrible. A number of...

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Topics: ACO (Accountable Care), Payment Models, Post-Acute Care, Provider, Value Based
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