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NAHC Report: Issue# 2533, 10/22/2014
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Speaker Summaries from NAHC’s Annual Meeting and Exposition
Predictive Modeling for Bundled Payments
For Your Information: National Institute for Health Care Management Foundation’s Improving Access to Integrated Palliative Care Webinar Archive Available
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Speaker Summaries from NAHC’s Annual Meeting and Exposition

NAHC’s Annual Meeting and Exposition got underway earlier this week.  The General Session speakers included people that educated, inspired and informed attendees. Below are summaries for the presentations of the General Session speakers.

Senator Rob Portman (R-OH)

Rob Portman, United States Senator from the state of Ohio, addressed Tuesday morning’s General Session. Senator Portman, a longtime hospice advocate and possible Republican presidential candidate in 2016, told attendees that it was his mother who first educated him about the importance of home care and hospice, as she was an early pioneer and supporter of hospice in her community. Before being elected to Congress, Senator Portman served on the board of a home care and hospice organization. In this capacity, he suggested that all board members go on patient visits to see and experience the benefits of hospice for themselves. His own first-hand visits gave him a deep appreciation for the acute medical needs of patients, the dedication of nurses, and the undeniable need for isolated elderly patients to have the lifeline hospice provides.

“There is nothing more patient-centric than hospice,” said Portman. “The Federal Government shouldn’t make it harder.” Portman recognized hospice as not only a more compassionate, but also less expensive alternative to institutional care.

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Predictive Modeling for Bundled Payments
The following article was written by Danielle Eldredge, a freelance healthcare journalist

Nearly 500 care organizations are enrolled in the Bundled Payments for Care Improvement (BPCI) initiative. To help navigate uncharted bundled structures, progressive care providers are looking toward predictive modeling.

As defined by the Centers for Medicare and Medicaid Services, BPCI organizations will enter into payment arrangements that include financial and performance accountability for episodes of care. These models may lead to higher quality and more coordinated care at a lower cost to Medicare.

So why would a care provider voluntarily enroll?

The American Medical Association puts it like this: “Bundled payment arrangements are a type of risk-contracting. If the cost of services is less than the bundled payment, participating physicians and other health care providers retain the difference. But if the costs exceed the bundled payment, physicians and other providers are not compensated for the difference.”

In an effort to identify and minimize risk, innovative care providers are turning to predictive modeling technology.

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National Institute for Health Care Management Foundation’s Improving Access to Integrated Palliative Care Webinar Archive Available

The NIHCM Foundation’s recent webinar “Improving Access to Integrated Palliative Care” is now available online.

 The event featured the following presentations:

  • Senator Bill Frist made the case for palliative care, summarizing the evidence on patient and cost outcomes and noting that most successful models are patient- and family-centered and rely on value-based payments.
  • Diane Meier illustrated widespread gaps in support for the seriously ill, highlighted payer initiatives to promote palliative care, and emphasized that cost reductions require a focus on quality, guidelines-based care.
  • Speakers from Aspire Health  described a scalable model for outpatient palliative care, including its approach to home visits and patient records and its impact on advanced care planning and hospital admissions
  • Speakers from Blue Cross Blue Shield of Illinois described their partnership with local hospitals to improve communication about treatment goals and better coordinate care for patients with advanced illness.

Video and slides from the presentations are available on NIHCM’s website.

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