Financial Aspects of Outpatient Palliative Care

  • Sarina R. Isenberg
  • Rab Razzak
  • Mike Rabow
  • Thomas J. SmithEmail author
Reference work entry


Community-based palliative care has become the focus of palliative care’s growth and opportunity. Twelve of the largest randomized control trials on palliative care are community-based and result in equal or greater survival, positive satisfaction from patients and caregivers, and equal or less cost. Surprisingly, sometimes the business case is the easiest to make (Cassel et al. 2015). With health care financing that embraces value-based programs, such as serious-illness care models, shared savings, bundled payments, and global budget revenues, community-based palliative care shows great promise and may be part of the solution to provide better care for patients at an affordable cost. Some key obstacles include a shortage of practitioners and the necessity to perform as a public health system instead of a revenue-generating center. We provide examples of some successful programs that are reproducible.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sarina R. Isenberg
    • 1
    • 2
    • 3
  • Rab Razzak
    • 5
  • Mike Rabow
    • 6
  • Thomas J. Smith
    • 4
    Email author
  1. 1.Department of Health, Behavior and SocietyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Temmy Latner Centre for Palliative Care and Lunenfeld-Tanenbaum Research InstituteSinai Health SystemTorontoCanada
  3. 3.Department of Family and Community MedicineUniversity of TorontoTorontoCanada
  4. 4.JHMI, The Johns Hopkins HospitalBaltimoreUSA
  5. 5.Outpatient Palliative Medicine, Johns Hopkins MedicineJohns Hopkins School of MedicineBaltimoreUSA
  6. 6.General Internal MedicineUniversity of San FranciscoSan FranciscoUSA

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