Scaling Early Palliative Care in Value-Based Community Oncology: A Technology-Enabled Approach

AJMC June 18, 2025
Biqi Zhang, MD, Samyukta Mullangi, MD, MBA, Alphan Kirayoglu, MA, Stephen G. Divers, MD, Julia L. Frydman, MD, MS

Key Takeaways

• Palliative care integration in oncology improves quality of life, reduces aggressive end-of-life care, and may prolong survival, while lowering healthcare costs.
• Operational challenges include determining patient timing, workforce shortages, and establishing a sustainable economic model for palliative care delivery.
• A scalable palliative care model was developed using a serious illness registry and a multidisciplinary team, aligning with value-based care frameworks.
• The model aims to improve patient outcomes and reduce healthcare costs, with preliminary results showing promising engagement and integration.

The integration of palliative care alongside oncologic treatment is a best practice strongly recommended by the American Society of Clinical Oncology, a stance reinforced by extensive evidence demonstrating its benefits.¹ Palliative care not only enhances patients’ quality...

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