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Reimbursing hospice care: a Blue Cross and Blue Shield perspective
Hospital Progress
|March 1, 1979
Insights
This statement provides guidance on hospice care and payment, offering three criteria and recommendations to prevent costly mistakes and improve patient care quality.
Area of Science:
- Healthcare Policy
- Palliative Care
- Health Economics
Background:
- The Associations released an "Initial Statement on Hospice Care and Payment for Hospice Services."
- This statement addresses concerns regarding cost increases without corresponding improvements in hospice care quality.
- Previous payment strategies may have led to inefficiencies.
Purpose of the Study:
- To outline key criteria for hospice care and payment.
- To provide recommendations for third-party payers and local Plans.
- To guide payers in avoiding past errors in hospice service payment.
Main Methods:
- Analysis of existing hospice care and payment models.
- Development of three core criteria for evaluating hospice services.
- Formulation of actionable recommendations for payers.
Main Results:
- The statement establishes a framework with three essential criteria.
- Numerous recommendations are provided for effective hospice payment.
- Guidance is offered to prevent financial waste and enhance care delivery.
Conclusions:
- The statement serves as a valuable resource for payers.
- Implementation of the criteria and recommendations can optimize hospice care and payment.
- This guidance aims to improve the value of hospice services.
Abstract:
The Associations' "Initial Statement on Hospice Care and Payment for Hospice Services" comprises three criteria and many recommendations. The statement can guide local Plans and other third party payers, wary of repeating past mistakes that increased costs without improving care.