Palliative Support
quality of life and appropriately manage costs
for seriously ill members.
Go beyond a disease-specific approach to enhance care for seriously ill members.
Health plans face a challenging balancing act in managing members with serious illness, striving to improve quality of life while lowering care costs. This is particularly difficult due to obstacles like delayed identification and engagement, disease-specific versus holistic care management, and common misconceptions about palliative care
Many care models aren’t designed to address the unique needs of seriously ill members. Traditional care models can result in:
- Over-medicalization
- Medical and social care gaps
- Unnecessary emergency department and hospital utilization
- Increased total cost of care
As life expectancies increase and the population ages, the need for quality care and the associated costs are expected to grow. The right support is imperative for members who are seriously ill, yet the importance of earlier identification, comprehensive assessment, and specialized support are often overlooked.
Studies show 60% of members who would benefit from palliative care do not receive it,1 plus 50% of all healthcare spending is driven by seriously ill members.2
Our Approach
Our Palliative Support solution is a proactive, personalized, and collaborative home-based model that meets members’ needs, delivers better outcomes, and reduces unnecessary care costs.
We work with existing care teams to ensure continuity of care and an optimal member experience. Our whole-person, community-based clinician approach uncovers and addresses unmet medical, emotional, and SDoH care gaps.
Program Results
The CareCentrix Advantage
Earlier Member Identification
Advanced predictive analytics and comprehensive data accurately identify and target members with serious illness as well as those who are end-of-life between 18-20 months earlier.
Proactive & Compassionate Engagement
Early outreach, upfront compassionate conversations, tailored messaging, personalized services, and convenient care improve member satisfaction and coordinate the transition to hospice when appropriate.
Home-Based Care Support
Unmatched palliative care support and expertise delivered by registered nurses and social workers who identify and close care gaps. We coordinate with the member’s treating providers to create personalized care plans, address symptom and pain management, medication reconciliation, and provide holistic 24/7 support for members and their caregivers to improve outcomes.
Community & Clinical Approach
Regional and local palliative trained staff enable timely and relevant care, quick implementation, and scalability. Advance care planning combined with personalized support enables care goals to be met and ensures decision-making is aligned with member preferences, cultures, and values.
Ready to enhance member outcomes and optimize costs?
Contact us to learn more about how Palliative Support can improve quality of life for members with a serious illness.
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