How Health Plans Can Evaluate Quality in Serious Illness Care
In a recent article, we explored why health plans increasingly partner with specialized organizations to support members living with serious illness. From a purely operational standpoint, the rationale is clear: traditional healthcare infrastructure simply wasn’t built to scale the proactive symptom management, advance care planning, and longitudinal, cross-setting support these patients and their families require.
CMS Is Finally Tackling Hospice Fraud. The Next Step Is Actually Preventing It.
CMS is taking new steps to address hospice fraud through provider scoring and transparency. Robin Heffernan explains why real-time hospice quality data is needed to prevent harm before it occurs.
Why Medicare Advantage Star Ratings Make Palliative Care Mission Critical
Star Ratings have become a multi-millon dollar financial opportunity for Medicare Advantage plans and in this environment, palliative care has emerged as a reliable and scalable lever with real influence over the highest weight measures…