1. 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

2. 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.

3. 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
© 2017 Regence BlueCross BlueShield of Utah, all rights reserved. Private and confidential.

4. 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.

5. 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.

6. 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.

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