The Business Case for Palliative Care: Translating Research into Program Development in the U.S.

Journal of Pain and Symptom Management

Volumn 50, Issue 6, 2015, Pages 741-749

  Cassel, J Brian ^a   Kerr, Kathleen M ^b   Kalman, Noah S ^a   Smith, Thomas J ^c  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^b Kerr Healthcare Analytics   (United States)

^c JOHNS HOPKINS UNIVERSITY   (United States)

Author keywords

finance; health economics; Palliative care; payment reform; policy

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; ARTICLE; HEALTH CARE FINANCING; HEALTH CARE MANAGEMENT; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH ECONOMICS; HOSPITALIZATION; HUMAN; MEDICAL RESEARCH; MEDICAL SPECIALIST; PALLIATIVE THERAPY; PROGRAM DEVELOPMENT; UNITED STATES; ECONOMICS; PROCEDURES;

BIOMEDICAL RESEARCH; HUMANS; PALLIATIVE CARE; PROGRAM DEVELOPMENT; UNITED STATES;

EID: 84948713112     PISSN: 08853924     EISSN: 18736513     Source Type: Journal    
DOI: 10.1016/j.jpainsymman.2015.06.013     Document Type: Article

References (65)

1. Berwick DM. Escape fire: Lessons for the future of health care. 1999. Available at: http://www.commonwealthfund.org/usr-doc/berwick-escapefire-563.pdf. Accessed November 25, 2014.
2. D.E. Meier Increased access to palliative care and hospice services: opportunities to improve value in health care Milbank Q 89 2011 343 380
3. D.E. Meier, and J.B. Cassel Palliative care's positive outcomes Trustee 64 2011 10 14 1
4. D. Hui, A. Elsayem, M. De la Cruz, and et al. Availability and integration of palliative care at US cancer centers JAMA 303 2010 1054 1061
5. H. Meyer Changing the conversation in California about care near the end of life Health Aff (Millwood) 30 2011 390 393
6. S. Smith, A. Brick, S. O'Hara, and C. Normand Evidence on the cost and cost-effectiveness of palliative care: a literature review Palliat Med 28 2014 130 150
7. P. May, C. Normand, and R.S. Morrison Economic impact of hospital inpatient palliative care consultation: review of current evidence and directions for future research J Palliat Med 17 2014 1054 1063
8. T.J. Smith, and J.B. Cassel Cost and non-clinical outcomes of palliative care J Pain Symptom Manage 38 2009 32 44
9. J.B. Cassel Palliative care's impact on utilization and costs: implications for health services research and policy A.S. Kelley, D.E. Meier, Meeting the Needs of Older Adults With Serious Illness: Challenges and Opportunities in the Age of Health Care Reform 2014 Springer New York 109 127
10. G. Hanks, N.I. Cherny, N.A. Christakis, and et al. Oxford textbook of palliative medicine 4th ed. 2009 Oxford University Press New York
11. E. Bruera, I.J. Higginson, C. Ripamonti, and C. von Gunten Textbook of Palliative Medicine 2009 Oxford University Press New York
12. B.R. Ferrell, and N. Coyle Oxford textbook of palliative nursing 2010 Oxford University Press New York
13. T. Luckett, J. Phillips, M. Agar, and et al. Elements of effective palliative care models: a rapid review BMC Health Serv Res 14 2014 136
14. D.E. Meier, S.L. Isaacs, and R.G. Hughes Palliative Care: Transforming the Care of Serious Illness 2010 Jossey-Bass San Francisco, CA
15. A.S. Kelley, and D.E. Meier Meeting the Needs of Older Adults With Serious Illness: Challenges and Opportunities in the Age of Health Care Reform 2014 Springer/Humana Press New York
16. R.B. Parikh, R.A. Kirch, T.J. Smith, and J.S. Temel Early specialty palliative care - translating data in oncology into practice N Engl J Med 369 2013 2347 2351
17. A.K. Smith, E. McCarthy, E. Weber, and et al. Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there Health Aff (Millwood) 31 2012 1277 1285
18. J.M. Teno, P.L. Gozalo, J.P. Bynum, and et al. Change in end-of-life care for Medicare beneficiaries: site of death, place of care, and health care transitions in 2000, 2005, and 2009 JAMA 309 2013 470 477
19. J.M. Teno, B.R. Clarridge, V. Casey, and et al. Family perspectives on end-of-life care at the last place of care JAMA 291 2004 88 93
20. I.J. Higginson, V.P. Sarmento, N. Calanzani, H. Benalia, and B. Gomes Dying at home - is it better: a narrative appraisal of the state of the science Palliat Med 27 2013 918 924
21. K.R. Yabroff, E.B. Lamont, A. Mariotto, and et al. Cost of care for elderly cancer patients in the United States J Natl Cancer Inst 100 2008 630 641
22. A.B. Mariotto, K.R. Yabroff, Y. Shao, E.J. Feuer, and M.L. Brown Projections of the cost of cancer care in the United States: 2010-2020 J Natl Cancer Inst 103 2011 117 128
23. Centers for Medicare & Medicaid Services. Readmissions reduction program. 2014. Available at: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html. Accessed November 25, 2014.
24. Rau J. Medicare fines 2,610 hospitals in third round of readmission penalties. Kaiser Health News, 2015. Available at: http://kaiserhealthnews.org/news/medicare-readmissions-penalties-2015/. Accessed November 25, 2014.
25. K.R. Bazinsky, L. Herrera, and J.M. Sharfstein Toward innovative models of health care and financing: matchmaking in Maryland JAMA 307 2012 1261 1262
26. Centers for Medicare & Medicaid Services (CMS). Hospital value-based purchasing. 2014. Available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/hospital-value-based-purchasing/index.html. Accessed November 25, 2014.
27. Cassel JB, Shickle LM, Skoro N, et al. The business case for integrated palliative care. Poster presentation, Center to Advance Palliative Care National Seminar, November 2012, Miami, FL.
28. U.S. Department of Health & Human Services. Better, smarter, healthier: In historic announcement, HHS sets clear goals and timeline for shifting Medicare reimbursements from volume to value. 2015. Available at: http://www.hhs.gov/news/press/2015pres/01/20150126a.html. Accessed June 10, 2015.
29. National Quality Forum. NQF quality positioning system. Available at: https://www.qualityforum.org/QPS/QPSTool.aspx. Accessed March 13, 2015.
30. J.B. Cassel, A.B. Jones, D.E. Meier, and et al. Hospital mortality rates: how is palliative care taken into account? J Pain Symptom Manage 40 2010 914 925 discussion 930-931
31. National Hospice and Palliative Care Organization. NHPCO's facts and figures: Hospice care in America. 2014. Available at: http://www.nhpco.org/sites/default/files/public/Statistics-Research/2014-Facts-Figures.pdf. Accessed March 10, 2015.
32. M. Rabow, E. Kvale, L. Barbour, and et al. Moving upstream: a review of the evidence of the impact of outpatient palliative care J Palliat Med 16 2013 1540 1549
33. R. Brumley, S. Enguidanos, and P. Jamison Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care J Am Geriatr Soc 55 2007 993 1000
34. J.S. Temel, J.A. Greer, A. Muzikansky, and et al. Early palliative care for patients with metastatic non small-cell lung cancer N Engl J Med 363 2010 733 742
35. J. Khatcheressian, J.B. Cassel, L. Lyckholm, and et al. Improving palliative and supportive care in cancer patients Oncology (Williston Park) 19 2005 1365 1376 discussion 1377-1378, 1381-1382, 1384 passim
36. J.D. Nathaniel, M.M. Garrido, E.J. Chai, G. Goldberg, and N.E. Goldstein Cost savings associated with an inpatient palliative care unit: results from the first two years J Pain Symptom Manage 50 2015 147 154
37. P. May, M.M. Garrido, J.B. Cassel, and et al. Prospective cohort study of hospital palliative care teams for inpatients with advanced cancer: earlier consultation is associated with larger cost-saving effect J Clin Oncol 33 2015 2745 2752
38. M.L. Twaddle, T.L. Maxwell, J.B. Cassel, and et al. Palliative care benchmarks from academic medical centers J Palliat Med 10 2007 86 98
39. K. Quinn New directions in Medicaid payment for hospital care Health Aff (Millwood) 27 2008 269 280
40. D.E. Weissman, and D.E. Meier Identifying patients in need of a palliative care assessment in the hospital setting: a consensus report from the Center to Advance Palliative Care J Palliat Med 14 2011 17 23
41. S.A. Norton, L.A. Hogan, R.G. Holloway, and et al. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients Crit Care Med 35 2007 1530 1535
42. R.S. Morrison, J. Dietrich, S. Ladwig, and et al. Palliative care consultation teams cut hospital costs for Medicaid beneficiaries Health Aff (Millwood) 30 2011 454 463
43. R.S. Morrison, J. Penrod, J.B. Cassel, and et al. Cost savings associated with US hospital palliative care consultation programs Arch Intern Med 168 2008 1783 1790
44. J.D. Penrod, P. Deb, C. Luhrs, and et al. Cost and utilization outcomes of patients receiving hospital-based palliative care consultation J Palliat Med 9 2006 855 860
45. E.K. Fromme, P.B. Bascom, M.D. Smith, and et al. Survival, mortality, and location of death for patients seen by a hospital-based palliative care team J Palliat Med 9 2006 903 911
46. G. Gade, I. Venohr, D. Conner, and et al. Impact of an inpatient palliative care team: a randomized control trial J Palliat Med 11 2008 180 190
47. M.W. Rabow, A.K. Smith, J.L. Braun, and D.E. Weissman Outpatient palliative care practices Arch Intern Med 170 2010 654 655
48. C.F. von Gunten, F.D. Ferris, C. Kirschner, and L.L. Emanuel Coding and reimbursement mechanisms for physician services in hospice and palliative care J Palliat Med 3 2000 157 164
49. Meyers K, Kerr KM, Cassel JB. Up close: a field guide to community-based palliative care in California. California Healthcare Foundation, 2014. Available at: http://www.chcf.org/publications/2014/09/up-close-field-guide-palliative. Accessed December 2, 2014.
50. Cassel JB, Kerr KM. Tools for planning and evaluating programs. Coalition for compassionate care of California, 2014. Available at: http://coalitionccc.org/wp-content/uploads/2014/03/Supportive-Care-Calculator-Clinic.xls. Accessed December 2, 2014.
51. C.W. Kerr, K.A. Donohue, J.C. Tangeman, and et al. Cost savings and enhanced hospice enrollment with a home-based palliative care program implemented as a hospice-private payer partnership J Palliat Med 17 2014 1328 1335
52. C.W. Kerr, J.C. Tangeman, C.B. Rudra, and et al. Clinical impact of a home-based palliative care program: a hospice-private payer partnership J Pain Symptom Manage 48 2014 883 892, e1
53. Center to Advance Palliative Care. Improving the care of serious illness though innovative payer-provider partnerships: a palliative care toolkit and resource guide. Available at: https://www.capc.org/payors/palliative-care-payer-provider-toolkit/. Accessed March 10, 2015.
54. California Health Care Foundation. A better benefit: health plans try new approaches to end-of-life care. 2014. Available at: http://www.chcf.org/publications/2013/04/better-benefit-health-plans. March 10, 2015.
55. Kerr KM, Cassel JB. Finding common ground: quality and fiscal incentive alignment for community-based palliative care. 2014. Available at: http://coalitionccc.org/wp-content/uploads/2014/01/CBPC-business-case-Aug-2013.pdf. Accessed March 10, 2015.
56. R. Krakauer, C.M. Spettell, L. Reisman, and M.J. Wade Opportunities to improve the quality of care for advanced illness Health Aff (Millwood) 28 2009 1357 1359
57. Highmark Blue Shield. Introducing the advanced illness services program. 2010. Available at: https://www.bcnepa.com/providers/freedomblue/AdvIllSrvs.pdf. Accessed June 10, 2015.
58. Regence Blue Shield. Personalized care support: palliative care benefit. Available at: https://www.regence.com/documents/10192/34853/Personalized+Care+Support/cc7fa61f-26b4-436c-a905-1fdade27aec8. Accessed June 10, 2015.
59. Center to Advance Palliative Care. Palliative care leadership center initiative. 2014. Available at: https://www.capc.org/palliative-care-leadership-centers/. Accessed March 10, 2015.
60. H. Starks, P. Diehr, and J.R. Curtis The challenge of selection bias and confounding in palliative care research J Palliat Med 12 2009 181 187
61. J.D. Penrod, N.E. Goldstein, and P. Deb When and how to use instrumental variables in palliative care research J Palliat Med 12 2009 471 474
62. M.M. Garrido Propensity scores: a practical method for assessing treatment effects in pain and symptom management research J Pain Symptom Manage 48 2014 711 718
63. M.M. Garrido, A.S. Kelley, J. Paris, and et al. Methods for constructing and assessing propensity scores Health Serv Res 49 2014 1701 1720
64. M.M. Garrido Propensity scores and palliative care J Palliat Med 17 2014 261
65. Center to Advance Palliative Care. Palliative care growth trend continues, according to latest CAPC analysis. 2014. Available at: https://www.capc.org/about/press-media/press-releases/2014-9-2/palliative-care-growth-trend-continues-according-latest-center-advance-palliative-care-analysis/. Accessed March 10, 2015.