A recent bipartisan bill was introduced that, if enacted, would steer the CMMI to develop a palliative care-specific payment model demonstration.

New legislation has prompted hospices to assess the implications and potential appearance of a community-based palliative care payment demonstration.

According to a recent report from CAPC and the Palliative Care Quality Collaborative (PCQC), hospices represent approximately 41% of community-based palliative care providers in the United States. Allison Silvers, MBA, the Health Transformation Officer at CAPC, highlighted that if the Center for Medicare & Medicaid Innovation (CMMI) were to implement a community-based palliative-specific payment model, it could impact other home-based providers and influence the design of care delivery models. Silvers emphasized the significance of high-quality, responsive care and effective coordination with other healthcare providers as key factors.

Overall, the introduction of a community-based palliative care payment model holds promise for expanding and enhancing care delivery. However, success will depend on careful consideration of reimbursement mechanisms, quality measures, and provider coordination.

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