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Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness - Proceedings of a Workshop (Paperback)
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Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness - Proceedings of a Workshop (Paperback)
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Millions of people in the United States live with serious illnesses
such as cancer, heart disease, chronic obstructive pulmonary
disorder (COPD), amyotrophic lateral sclerosis, Parkinson's
disease, and dementia?often for many years. Those facing serious
illness have a range of interconnected medical and non-medical
needs, and the way their care is financed has a large impact on the
care they receive. Medicare is the predominant payer, but both
Medicaid and private payers also play significant roles in
financing care for serious illness. In an effort to address the
complex needs of people with serious illness, public and private
health care payers are testing innovative financing strategies and
alternative payment models. These innovative approaches signal a
gradual transition from the traditional-fee-for-service system that
pays providers based on the quantity of services to a system based
on the value of care provided and a heightened focus on improved
quality of care at lower cost. To explore this evolving financing
and payment landscape for serious illness care within public- and
private-sector programs, the Roundtable on Quality Care for People
with Serious Illness developed a workshop, Financing and Payment
Strategies to Support High-Quality Care for People with Serious
Illness. The workshop convened clinicians, researchers, policy
analysts, and patient advocates, as well as representatives from
academia, government and private health care plans, and insurers to
discuss challenges and opportunities in financing high-quality care
for people with serious illness. This publication summarizes the
presentations and discussions from the workshop. Table of Contents
Front Matter Proceedings of a Workshop Appendix A: Statement of
Task Appendix B: Workshop Agenda
General
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