The Future of Health Insurance & Palliative Care Presented by: Scott Schlegel – Provider & Consumer Outreach Specialist © 2017 Regence BlueCross BlueShield of Utah, all rights reserved. Private and confidential. Regence BlueCross BlueShield of Utah is an Independent Licensee of the Blue Cross and Blue Shield Association

Group activity Imagine you have just been diagnosed with a serious Illness and has 30 days to live… 1) What do your final days look like? 2) Where are you spending your time? 3) Who are you spending it with? Take 5 minutes to discuss with the person next to you… © 2017 Regence BlueCross BlueShield of Utah, all rights reserved. Private and confidential.

Palliative care in acute care At present, palliative care programs have been established at more than 60 percent of U.S. hospitals with more than fifty beds and affect approximately 1.5 percent of all discharges. Palliative care is estimated to save $1.2 billion per year under the current penetration of services (to approximately 1.5 percent of all hospital discharges at 1,500 U.S. hospitals). This figure would increase to approximately $4 billion per year if capacity were expanded to meet the needs of 6 percent of hospital discharges at 90 percent of all U.S. hospitals with more than fifty beds Increased Access to Palliative Care and Hospice Services: Opportunities to Improve Value in Health Care Diane E Meier https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214714/ © 2017 Regence BlueCross BlueShield of Utah, all rights reserved. Private and confidential.

Palliative care in health insurance Few programs are leading the way in Palliative care Regence BCBS BCBS of Massachusetts Blue Shield of California Programs are coming along across the country, but in most cases are limited Diagnosis Specific Few Visits Limited to Home Health and Advanced Care planning © 2017 Regence BlueCross BlueShield of Utah, all rights reserved. Private and confidential.

Regence - Palliative benefit Our mission is to provide palliative care services to anyone who might benefit from them in whatever setting they prefer Our benefits and services support the entire spectrum of palliative care needs, from birth to natural end © 2017 Regence BlueCross BlueShield of Utah, all rights reserved. Private and confidential.

Key Essentials to Working with your Payer Communication Connecting with provider representative, consultants and contractors Understanding necessary requirements Licensing / Contracting / Credentialing Coming forward with a clear definition and realistic expectations about proposed pilot projects Defining your service, know what it costs and how to scale and share performance guarantees or standards Understanding of each others process and timelines Claims runout and data sharing Patience! © 2017 Regence BlueShield, all rights reserved. Private and confidential.

Questions? © 2017 Regence BlueCross BlueShield of Utah, all rights reserved. Private and confidential.