Tips from our featured course
Palliative & End-of-Life Care: When ICU Care is Futile, Costs Soar
Deficiencies in communication and decision-making may be associated with prolonged use of life-sustaining treatments in elderly, critically ill patients, many of whom ultimately die.
ICU costs affect hospitals and patients. ICU care is extremely expensive and in general reimbursement does not cover the cost of delivery. Additionally, patients get aggressive, expensive treatment their caregivers know is not going to save their lives or make them better.
California researchers report "futile" care has a hidden price: It is crowding out other patients who could survive, recover and get back to living their lives.
MCO CMs in concert with their HCM counterparts are an integral part of identifying opportunities for and formulating SCAs. These agreements are frequently developed through a combination of conference calls and electronic exchanges between the MCO and provider representatives.
[Reference: Renovated Palliative and End-of-Life Care, Module B, Economics, Regulations and Reimbursement]
Palliative Care: Costs-Saving Care
These programs have also been shown to be cost effective in:
- Reducing overuse of services
- Lowering the use of ICU
- Developing effective transition plans which lower the frequency of readmissions
Two trials conducted on a mix of patients with various illnesses demonstrated that patients who received a combination of usual care in conjunction with palliative care fared better than similar patients receiving usual care alone with equivalent survival, higher patient and family satisfaction and cost savings of over $4,800 per patient
Effective palliative care can transform inpatient care delivery, reducing costs while improving quality in both fee-for-service and risk contracting environments.
[Renovated Palliative and End-of-Life Care, Module A, Advancing Palliative and End-of-Life Care]