Palliative care is a growing area of interest for home health and hospice providers. Many chronic patients who are not yet "terminally ill" can benefit from palliative care. There is evidence showing that palliative care can reduce hospitalizations and ER utilization, both key metrics for providers in the world of value-based purchasing.
However, because they are not terminally ill and may not be homebound, these patients do not fit into a category for Medicare or Medicaid purposes. This not only presents a concern related to how to make this work as a business model but raises other concerns as well. For example, how do we avoid fraud and abuse issues that arise in the context of providing services for free? Other challenges include determining what type of services these are, what license to obtain, and more.
This informative session with expert speaker Robert W. Markette, Jr., CHC will look at issues related to establishing a palliative care program, including payer sources, compliance concerns, licensure matters and even the use of physician services. This event will look at what palliative care looks like in a homecare setting. Robert will consider whether these services are hospice services, home health services or physician services. He will then look at compliance issues that can arise when providing these services. Robert will also review potential payer sources including Medicare, Medicaid and third parties. The event will focus on this service as one an ACO or hospital might pay for as a means to improve certain outcomes.
Who should attend?
- Apryl Swafford
For more than a decade, Robert W. Markette, Jr., CHC, has focused his practice on representing home health, hospice, private duty and DME providers in all aspects of their operations. With more than a decade of experience in working with these industries, Robert has developed a reputation for understanding the operational, compliance and legal/regulatory issues facing homecare providers.