Abstract
Health-care reform presented numerous opportunities to alleviate patient and family suffering through the testing of new delivery and payment models. In addition to encouraging innovative approaches that would improve care, improve outcomes, and reduce cost, stakeholders emphasized concepts such as care coordination and patient engagement. Thus, health-care reform opened the door for the emerging field of palliative care to deliver on these challenges by (1) relieving symptoms including physical and emotional pain, (2) improving patient–professional communication and decision-making, and (3) coordinating care across settings. As US health policy enters a new era, the field can leverage progress from recent years to continue expanding access to palliative care for seriously ill patients and their families.
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References
Accreditation Commission for Health Care. (2017). ACHC Accreditation Distinctions. Retrieved October 20, 2017, from http://www.achc.org/achc-distinctions.html.
Agency for Healthcare Research and Quality. (2017). Patient centered medical home resource center. Retrieved October 22, 2017, from https://pcmh.ahrq.gov/page/defining-pcmh.
American Academy of Hospice and Palliative Medicine. (2017a). Certification for hospice and palliative medicine specialists. Retrieved October 20, 2017, from http://aahpm.org/career/certification.
American Academy of Hospice and Palliative Medicine. (2017b). A profile of active hospice and palliative medicine physicians, 2016. Retrieved October 23, 2017, from http://aahpm.org/uploads/AAHPM17_WorkforceStudy_Sept_2017_final.pdf.
American Academy of Pediatrics. (2013). Policy statement: Pediatric palliative care and hospice commitments, guidelines, and recommendations. Retrieved October 20, 2017, from http://pediatrics.aappublications.org/content/pediatrics/132/5/966.full.pdf.
American Board of Hospice and Palliative Medicine. (2006). ABMS votes to make Hospice and Palliative Medicine an ABMS subspecialty. Retrieved October 9, 2006, from http://www.abhpm.org/gfxc_119.aspx.
American Hospital Association. (2014). AHA Annual Survey Database™ Fiscal Year 2013. Chicago: American Hospital Association.
Aneja, S., Ross, J. S., Wang, Y., Matsumoto, M., Rodgers, G. P., Bernheim, S. M., et al. (2011). US cardiologist workforce from 1995 to 2007: Modest growth, lasting geographic maldistribution, especially in rural areas. Health Affairs, 30(12), 2301–2309.
Antonisse, L., Garfield, R., Rudowitz, R., & Artiga, S. (2017). The effects of Medicaid expansion under the ACA: Updated findings from a literature review. The Kaiser Family Foundation. Retrieved May 2, 2017 from http://files.kff.org/attachment/Issue-Brief-The-Effects-of-Medicaid-Expansion-Under-the-ACA-Updated-Findings.
The Lewin Group (2010). Individuals living in the community with chronic conditions and functional limitations: A closer look. Retrieved August 10, 2018, from https://aspe.hhs.gov/pdf-report/individuals-living-community-chronic-conditions-and-functional-limitations-closer-look
Assistant Secretary for Planning and Evaluation. (2017). PTAC welcome page. Retrieved October 23, 2017, from https://aspe.hhs.gov/ptac-physician-focused-payment-model-technical-advisory-committee.
Bakitas, M. A., Tosteson, T. D., Li, Z., et al. (2015). Early versus delayed initiation of concurrent palliative oncology care: Patient outcomes in the ENABLE III randomized controlled trial. Journal of Clinical Oncology, 33(13), 1438–1445.
Bell, S. P., & Saraf, A. A. (2016). Epidemiology of multimorbidity in older adults with cardiovascular disease. Clinics in Geriatric Medicine, 32(2), 215–226.
Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27(3), 759–769.
Board of Chaplaincy Certification Inc. (2017). Hospice & Palliative Care Specialty Certification. Retrieved October 20, 2017, from http://bcci.professionalchaplains.org/content.asp?contentid=45.
Braun, L. T., Grady, K. L., Kutner, J. S., Adler, E., Berlinger, N., Boss, R., Roach, W. H., et al. (2016). Palliative care and cardiovascular disease and stroke: A policy statement from the American Heart Association/American Stroke Association. Circulation, 136(6), e1–e28.
Center for Medicare and Medicaid Innovation. (2017a). Physician Group Practice Transition Demonstration. Retrieved October 21, 2017, from https://innovation.cms.gov/initiatives/Physician-Group-Practice-Transition.
Center for Medicare and Medicaid Innovation. (2017b). Pioneer ACO model. Retrieved October 21, 2017, from https://innovation.cms.gov/initiatives/Pioneer-ACO-Model/.
Center for Medicare and Medicaid Innovation. (2017c). Next Generation ACO Model. Retrieved October 21, 2017, from https://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/.
Center for Medicare and Medicaid Innovation. (2017d). Comprehensive Primary Care Initiative. Retrieved October 22, 2017, from https://innovation.cms.gov/initiatives/comprehensive-primary-care-initiative/.
Center for Medicare and Medicaid Innovation. (2017e). Comprehensive Primary Care Plus. Retrieved October 22, 2017, from https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus.
Center for Medicare and Medicaid Innovation. (2017f). Oncology Care Model. Retrieved October 22, 2017, from https://innovation.cms.gov/initiatives/oncology-care/.
Center for Medicare and Medicaid Innovation. (2017g). Independence at Home demonstration. Retrieved October 22, 2017, from https://innovation.cms.gov/initiatives/independence-at-home/.
Center to Advance Palliative Care. (2011a). About palliative care. Retrieved, October 20, 2017, from https://www.capc.org/about/palliative-care/.
Center to Advance Palliative Care. (2011b). 2011 Public opinion research on palliative care. Retrieved, October 23, 2017, from https://media.capc.org/filer_public/18/ab/18ab708c-f835-4380-921d-fbf729702e36/2011-public-opinion-research-on-palliative-care.pdf.
Center to Advance Palliative Care. (2015). America’s care of serious illness: 2015 state-by-state report card on access to palliative care in our nation’s hospitals. Retrieved October 22, 2017, from https://reportcard.capc.org/wp-content/uploads/2015/08/CAPC-Report-Card-2015.pdf.
Center to Advance Palliative Care. (2017a). Growth of palliative care in U.S. hospitals: 2016 snapshot. Retrieved October 20, 2017, from https://registry.capc.org/wp-content/uploads/2017/02/Growth-of-Palliative-Care-in-U.S.-Hospitals-2016-Snapshot.pdf.
Center to Advance Palliative Care. (2017b). Payment primer: What to know about payment for palliative care delivery. Retrieved October 21, 2017, from https://media.capc.org/filer_public/a5/15/a5157b68-93c0-44ad-a6c4-fc2a71e6be2c/capc_paymentprimer_final.pdf.
Centers for Medicare and Medicaid Services. (2009). Roadmap for implementing value driven healthcare in the traditional Medicare fee-for-service program. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/downloads/VBPRoadmap_OEA_1-16_508.pdf.
Centers for Medicare and Medicaid Services. (2016). Medicare accountable care organizations 2015 performance year quality and financial results. Retrieved October 21, 2017, from https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-08-25.html.
Centers for Medicare and Medicaid Services. (2017a). Accountable care organizations. Retrieved October 21, 2017, from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/.
Centers for Medicare and Medicaid Services. (2017b). Medicare Shared Savings Program: About the program. Retrieved October 21, 2017, from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/about.html.
Centers for Medicare and Medicaid Services. (2017c). Independence at Home demonstration corrected performance year 2 results. Retrieved October 22, 2017, from https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-01-19.html.
Centers for Medicare and Medicaid Services. (2017d). CMS’ value-based programs. Retrieved October 22, 2017, from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-Programs.html.
Centers for Medicare and Medicaid Services. (2017e). NHE fact sheet. Retrieved October 22, 2017, from https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nhe-fact-sheet.html.
Centers for Medicare and Medicaid Services. (2017f). MACRA: Delivery system reform, Medicare Payment Reform. Retrieved October 23, 2017, from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html.
Collins, S. R., Gunja, M. Z., Doty, M. M., & Beutel, S. (2017). How the Affordable Care Act has improved Americans’ ability to buy health insurance on their own. Retrieved March 29, 2017 from http://www.commonwealthfund.org/~/media/files/publications/issue-brief/2017/feb/1931_collins_biennial_survey_2016_ib.pdf.
Commission on Cancer. (2012). Cancer Program Standards 2012: Ensuring Patient-Centered Care. Retrieved October 20, 2017, from https://www.facs.org/~/media/files/quality%20programs/cancer/coc/programstandards2012.ashx.
Davis, M. P., Temel, J. S., Balboni, T., & Glare, P. (2015). A review of the trials which examine early integration of outpatient and home palliative care for patients with serious illnesses. Annals of Palliative Medicine, 4(3), 99–121.
Delgado-Guay, M. O., Parsons, H. A., Li, Z., et al. (2009). Symptom distress, interventions, and outcomes of intensive care unit cancer patients referred to a palliative care consult team. Cancer, 115(2), 437–445.
DNV GL. (2017). Palliative care program certification. Retrieved August 10, 2018, from https://www.dnvgl.us/assurance/healthcare/PalliativeCare.html
Dumanovsky, T., Augustin, R., Rogers, M., Lettang, K., Meier, D. E., & Morrison, R. S. (2016). The growth of palliative care in U.S. hospitals: A status report. Journal of Palliative Medicine, 19(1), 8–15.
Dy, S. M., Herr, K., Bernacki, R. E., Kamal, A. H., Walling, A. M., Ersek, M., & Norton, S. A. (2016). Methodological research priorities in palliative care and hospice quality measurement. Journal of Pain and Symptom Management, 51(2), 155–162.
Ferrell, B. R., Temel, J. S., Temin, S., Alesi, E. R., Balboni, T. A., Basch, E. M., Smith, T. J., et al. (2017). Integration of palliative care into standard oncology care: American Society of Clinical Oncology Clinical Practice Guideline update. Journal of Clinical Oncology, 35(1), 96–112.
Feudtner, C., Womer, J., Augustin, R., Remke, S., Wolfe, J., Friebert, S., & Weissman, D. (2013). Pediatric palliative care programs in children’s hospitals: A cross-sectional national survey. Pediatrics, 132(6), 1063–1070.
Field, J. F., & Behrman, R. E. (2003). When children die: Improving palliative and end-of-life care for children and their families. Washington, DC: National Academies Press.
Field, M. J., & Cassel, C. K. (Eds.). (1997). Approaching death: Improving care at the end of life. Washington, DC: National Academies Press.
Figueroa, J. F., Joynt Maddox, K. E., Beaulieu, N., Wild, R. C., & Jha, A. K. (2017). Concentration of potentially preventable spending among high-cost Medicare subpopulations. Annals of Internal Medicine [ePub ahead of print]. Retrieved October 20, 2017, from http://annals.org/aim/article/2657697/concentration-potentially-preventable-spending-among-high-cost-medicare-subpopulations-observational.
Friedrichsdorf, S. J., Postier, A., Dreyfus, J., Osenga, K., Sencer, S., & Wolfe, J. (2015). Improved quality of life at end of life related to home-based palliative care in children with cancer. Journal of Palliative Medicine, 18(2), 143–150.
Gans, D., Hadler, M. W., Chen, X., et al. (2015). Impact of a pediatric palliative care program on the caregiver experience. Journal of Hospice and Palliative Nursing, 17, 559–565.
Gans, D., Hadler, M. W., Chen, X., et al. (2016). Cost analysis and policy implications of a pediatric palliative care program. Journal of Pain and Symptom Management, 52(3), 329–335.
Gelfman, L. P., & Morrison, R. S. (2008). Research funding for palliative medicine. Journal of Palliative Medicine, 11, 36–43.
Ghosh, A., Simon, K., & Sommers, B. (2017). The effect of state Medicaid expansions on prescription drug use: Evidence from the affordable care act. Retrieved May 7, 2017, from http://www.nber.org/papers/w23044?utm_campaign=ntw&utm_medium= email&utm_source=ntw.
Hays, R. M., Valentine, J., Haynes, G., et al. (2006). The Seattle pediatric palliative care project: Effects on family satisfaction and health-related quality of life. Journal of Palliative Medicine, 9(3), 716–728.
Health Affairs. (2012). Health policy brief: Pay-for performance. Retrieved from http://healthaffairs.org/healthpolicybriefs/brief_pdfs/healthpolicybrief_78.pdf.
Hospice & Palliative Credentialing Center. (2017). Advanced Certified Hospice and Palliative Nurse (ACHPN) Candidate Handbook. Retrieved October 20, 2017, from http://documents.goamp.com/publications/candidatehandbooks/hpcc-achpn-handbook.pdf.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 2st century. Washington, DC: National Academies Press.
Institute of Medicine. (2002). When children die: Improving palliative and end-of-life care for children and their families. Washington, DC: National Academies Press.
Institute of Medicine. (2014). Dying in America: Improving quality and honoring individual preferences near the end of life. Washington, DC: National Academies Press.
Kelley, A. S. (2014). Defining “serious illness”. Journal of Palliative Medicine, 17(9), 985–985.
Kelley, A. S., & Morrison, R. S. (2015). Palliative care for the seriously ill. The New England Journal of Medicine, 373(8), 747–755.
Kelley, A. S., Covinsky, K. E., Gorges, R. J., McKendrick, K., Bollens-Lund, E., Morrison, R. S., & Ritchie, C. S. (2017). Identifying older adults with serious illness. Health Services Research, 52(1), 113–131.
Kliff, S. (2017). A GOP official at a town hall tried to argue Obamacare has death panels. It did not go well. Retrieved October 23, 2017, from https://www.vox.com/2017/2/12/14588086/death-panel-town-hall.
Lupu, D. (2010). Estimates of current hospice and palliative medicine physician workforce shortage. Journal of Pain and Symptom Management, 40(6), 899–911.
Lustbader, D., Mudra, M., Romano, C., Lukoski, E., Chang, A., Mittelberger, J., Scherr, T., & Cooper, D. (2017). The impact of a home-based palliative care program in an accountable care organization. Journal of Palliative Medicine, 20(1), 23–28.
Marjoua, Y., & Bozic, K. J. (2012). Brief history of quality movement in US healthcare. Current Reviews in Musculoskeletal Medicine, 5(4), 265–273.
Mary J. Labyak Institute for Innovation. (2012). Pediatric concurrent care. Alexandria, VA: National Hospice and Palliative Care Organization.
Mathematica. (2016). Evaluation of the Comprehensive Primary Care Initiative: Third annual report. Retrieved October 22, 2017, from https://innovation.cms.gov/Files/reports/cpci-evalrpt3.pdf.
Medicare Learning Network. (2016). Advance care planning. Retrieved October 23, 2017, from https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/AdvanceCarePlanning.pdf.
Medicare Learning Network. (2017). Medicare Care Choices Model – per beneficiary per month payment (PBPM) – implementation (eligibility updates and clarification). Retrieved October 22, 2017, from https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM10094.pdf.
MedPAC. (2003). Report to the Congress: Variation and innovation in Medicare (Chapter 7). Washington, DC: MedPAC.
MedPAC. (2017). Report to the congress: Medicare and the health care delivery system (pp. 159–176). Washington, DC: MedPAC.
Meier, D. E. (2011). Increased access to palliative care and hospice services: Opportunities to improve value in health care. The Milbank Quarterly, 89(3), 343–380.
Meier, D. E., & Morgan, L. (2017). Reframing palliative care: Messages matter, Presentation. Retrieved October 23, 2017, from https://www.capc.org/topics/marketing-and-palliative-care/.
Meier, D. E., Guinn, N., Silvers, A., & Spragens, L. (2017). Eyes on the prize part II: Palliative care post-election. Palliative in Practice. Retrieved October 22, 2017, from https://palliativeinpractice.org/palliative-pulse/palliative-pulse-january-2017/eyes-prize-part-ii-palliative-care-post-election/.
Miller, H. D. (2017). Why Value-Based Payment isn’t Working, and How to Fix It. Retrieved October 22, 2017, from http://www.chqpr.org/downloads/WhyVBPIsNotWorking.pdf?utm_source=Why+Value-Based+Payment+Isn%27t+Working&utm_campaign= Why+VBP+Isn%27t+Working&utm_medium=email.
Mitchell, E. (2016). Statistical brief #497: Concentration of health expenditures in the U.S. civilian noninstitutionalized population, 2014. Washington, DC: Agency for Healthcare Research and Quality. Retrieved from https://meps.ahrq.gov/data_files/publications/st497/stat497.shtml
Morrison, R. S., Penrod, J. D., Cassel, J. B., et al. (2008). Cost savings associated with US hospital palliative care consultation programs. Archives of Internal Medicine, 168, 1783–1790.
Morrison, R. S., Dietrich, J., Ladwig, S., et al. (2011). Palliative care consultation teams cut hospital costs for Medicaid beneficiaries. Health Affairs, 30(3), 454–463.
Muhlestein D., Saunders R., & McClellan, M. (2016). Medicare accountable care organization results for 2015: The journey to better quality and lower costs continues. Health Aff Blog. Retrieved October 21, 2017, from http://healthaffairs.org/blog/2016/09/09/medicare-accountable-care-organization-results-for-2015-the-journey-to-better-quality-and-lower-costs-continues/.
Muhlestein D., Saunders R., & McClellan, M. (2017). Growth of ACOs and alternative payment models in 2017. Health Aff Blog. Retrieved October 21, 2017, from http://healthaffairs.org/blog/2017/06/28/growth-of-acos-and-alternative-payment-models-in-2017/.
Mulcahy, A. W., Eibner, C., & Finegold, K. (2016). Gaining coverage through Medicaid or private insurance increased prescription use and lowered out-of-pocket spending. Health Aff, 35(9), 1–9 [ePub before print].
National Association of Social Workers. (2017). Certified Hospice & Palliative Social Worker (CHP-SW). Retrieved October 20, 2017, from https://www.socialworkers.org/Careers/Credentials-Certifications/Apply-for-NASW-Social-Work-Credentials/Certified-Hospice-and-Palliative-Social-Worker.
National Coalition for Hospice and Palliative Care. (2017a). NCP guidelines (2018). Retrieved October 20, 2017, from https://www.nationalcoalitionhpc.org/ncp-guidelines-2018/.
National Coalition for Hospice and Palliative Care. (2017b). Letter to Senator Ted Cruz, February 10, 2017. Retrieved October 23, 2017, from https://www.nationalcoalitionhpc.org/wp-content/uploads/2017/05/Coalition-Cruz-letter-final-2.10.17.pdf.
National Comprehensive Cancer Network. (2017). NCCN Clinical Practice Guidelines in Oncology: Palliative Care. Retrieved October 20, 2017, from https://www.nccn.org/professionals/physician_gls/f_guidelines.asp#palliative.
National Consensus Project for Quality Palliative Care. (2013). Clinical Practice Guidelines for Quality Palliative Care, Third Edition. Retrieved October 20, 2017, from https://www.nationalcoalitionhpc.org/ncp-guidelines-2013/.
National Hospice and Palliative Care Organization. (2011). Concurrent Care for Children Implementation Toolkit. Retrieved October 22, 2017, from https://www.nhpco.org/sites/default/files/public/ChiPPS/CCCR_Toolkit.pdf.
National Palliative Care Registry. (2017). Mapping community palliative care. Retrieved October 20, 2017, from https://mapping.capc.org/.
National Priorities Partnership. (2008). National priorities and goals – Aligning our efforts to transform America’s healthcare. Washington, DC: National Quality Forum.
National Quality Forum. (2006). A national framework and preferred practices for palliative and hospice care quality. Washington, DC: National Quality Forum.
National Quality Forum. (2012). National voluntary consensus standards: Palliative care and end-of-life care – A consensus report. Washington, DC: National Quality Forum.
National Quality Forum. (2016). Palliative and end-of-life care 2015–2016 technical report. Washington, DC: National Quality Forum.
Nichols, L., Cuellar, A. E., Helmchen, L., Gimm, G., & Want, J. (2017). What should we conclude from ‘mixed’ results in payment reform evaluations? Health Aff Blog. Retrieved October 22, 2017, from http://healthaffairs.org/blog/2017/08/14/what-should-we-conclude-from-mixed-results-in-payment-reform-evaluations/.
Patient-Centered Outcomes Research Institute. (2017). Our programs. Retrieved October 22, 2017, from https://www.pcori.org/about-us/our-programs.
Quality Payment Program. (2017). APMs overview. Retrieved October 21, 2017, from https://qpp.cms.gov/apms/overview.
Rabow, M., Kvale, E., Barbour, L., Cassel, J. B., Cohen, S., Jackson, V., Weissman, D., et al. (2013). Moving upstream: A review of the evidence of the impact of outpatient palliative care. Journal of Palliative Medicine, 16(12), 1540–1549.
Riolfi, M., Buja, A., Zanardo, C., Marangon, C. F., Manno, P., & Baldo, V. (2014). Effectiveness of palliative home-care services in reducing hospital admissions and determinants of hospitalization for terminally ill patients followed up by a palliative home-care team: A retrospective cohort study. Journal of Palliative Medicine, 28(5), 403–411.
Rogers, M., & Dumanovsky, T. (2017). How we work: Trends and insights in hospital palliative care. New York, NY: Center to Advance Palliative Care and the National Palliative Care Research Center.
Salsberg ECfHWSS. (2002). The supply, demand and use of palliative care physicians in the U.S. In A report prepared for the Bureau of HIV/AIDS, HRSA. Albany: Center for Health Workforce Studies.
Schoenman, J.A. (2012). The concentration of health care spending. Washington, DC: National Institute for health care management research and education foundation. Retrieved October 17, 2017, from: https://www.nihcm.org/pdf/DataBrief3%20Final.pdf.
Scibetta, C., Kerr, K., Mcguire, J., & Rabow, M. W. (2016). The costs of waiting: Implications of the timing of palliative care consultation among a cohort of decedents at a comprehensive cancer center. Journal of Palliative Medicine, 19(1), 69–75.
Scott, J. O., & Hughes, L. (2006). A needs assessment: Fellowship directors forum of the American Academy of hospice and palliative medicine. Journal of Palliative Medicine, 9, 273–278.
Sidebottom, A. C., Jorgenson, A., Richards, H., Kirven, J., & Sillah, A. (2015). Inpatient palliative care for patients with acute heart failure: Outcomes from a randomized trial. Journal of Palliative Medicine, 18(2), 134–142.
Smith, S., Brick, A., O’Hara, S., & Normand, C. (2014). Evidence on the cost and cost-effectiveness of palliative care: A literature review. Palliative Medicine, 28(2), 130–150.
Smith, G., Bernacki, R., & Block, S. D. (2015). The role of palliative care in population management and accountable care organizations. Journal of Palliative Medicine, 18(6), 486–494.
Social Work Hospice & Palliative Care Network. (2017). Hospice and palliative social worker credentialing. Retrieved October 20, 2017, from https://swhpn.memberclicks.net/index.php?option=com_dailyplanetblog&view= entry&year=2017&month=09&day=12&id=2:hospice-palliative-care-credentialing.
Society of Palliative Care Pharmacists. (2017). Advanced degree and certificate programs. Retrieved October 20, 2017, from http://www.palliativepharmacist.org/site_page.cfm?pk_association_webpage_menu= 3619&pk_association_webpage=9667.
Spetz, J., Dudley, N., Trupin, L., Rogers, M., Meier, D. E., & Dumanovsky, T. (2016). Few hospital palliative care programs meet national staffing recommendations. Health Affairs, 35(9), 1690–1697.
Teno, J. M., Clarridge, B. R., Casey, V., et al. (2004). Family perspectives on end-of-life care at the last place of care. Journal of the American Medical Association, 291, 88–93.
Teno, J. M., Price, R. A., & Makaroun, L. K. (2017). Challenges of measuring quality of community-based programs for seriously ill individuals and their families. Health Affairs, 36(7), 1227–1233.
The Joint Commission. (2017). Facts about advanced certification for palliative care. Retrieved October 20, 2017, from https://www.jointcommission.org/facts_about_palliative_care/.
Thorpe, K. E., & Howard, D. H. (2006). The rise in spending among Medicare beneficiaries: The role of chronic disease prevalence and changes in treatment intensity. Health Affairs, 25, 378–388.
U.S. Census Bureau Newsroom. (2017). The nation’s older population is still growing, Census Bureau reports. Retrieved October 18, 2017, from https://www.census.gov/newsroom/press-releases/2017/cb17-100.html.
U.S. Census Bureau, Population Division. (2014). Table 3. Projections of the population by sex and selected age groups for the United States: 2015 to 2060 (NP2014-T3). Retrieved October 18, 2017, from https://www.census.gov/data/tables/2014/demo/popproj/2014-summary-tables.html.
Whittington, J. W., Nolan, K., Lewis, N., & Torres, T. (2015). Pursuing the triple aim: The first 7 years. The Milbank Quarterly, 93(2), 263–300.
Wolfe, J., Hammel, J. F., Edwards, K. E., et al. (2008). Easing of suffering in children with cancer at the end of life: Is care changing. Journal of Clinical Oncology, 26(10), 1717–1723.
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Meier, D.E., Sinclair, S. (2018). Policy Opportunities to Improve Access to Quality Pain and Palliative Care Services. In: Moore, R. (eds) Handbook of Pain and Palliative Care. Springer, Cham. https://doi.org/10.1007/978-3-319-95369-4_44
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