Palliative Care that health plan members want and need
Carelon Health is one of the nation’s largest providers of cost-effective, nonhospice, home-based palliative care. Since 2013, we’ve provided compassion, support, and guidance to more than 100,000 patients with serious illnesses or high-risk, high-cost chronic conditions.
Our Palliative Care offers a life-changing shift in healthcare delivery because it’s focused on providing patients with care between doctor’s appointments to address their physical, emotional, nutritional, and social needs. And we deliver it all while reducing healthcare costs.
The algorithm that reduces costs
Our proprietary, risk-prediction algorithm targets high-need, high-cost patients with impactable spend. From there, we implement additional risk-prediction strategies after the initial clinical assessment. This combination of data analytics and clinical precision allows us to provide patients with the appropriate level of care. It also reduces the revolving door of costly medications, emergency room visits, and hospital admissions.
By investing in “upstream” Palliative Care for the most high-need patients, a reduction in “downstream” healthcare expenses is practically guaranteed.
Any time is the right time
Palliative Care can be helpful at any stage of illness. It can be initiated soon after a person is diagnosed and is especially valuable when offered alongside curative treatment.
Our interdisciplinary care teams are experts in caring for people experiencing the symptoms and stress of illnesses that include, but are not limited to, AIDS, amyotrophic lateral sclerosis (ALS), cancer, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), dementia, kidney disease, multiple sclerosis, and Parkinson’s disease.
Palliative Care by the numbers
10+
years of experience
~50
states with in-person or virtual care
4 in 10
adults in the U.S. have two or more chronic diseases2
100,000+
patients cared for
6 in 10
adults in the U.S. have a chronic disease1
~6,000,000
people in the U.S. could benefit from palliative care3
Expertise that makes a difference
Our Palliative Care program is staffed with board-certified and palliative medicine-certified care providers. Most often, the team includes a doctor, physician assistant or nurse practitioner, registered nurse, and social worker.
With a compassionate and effective patient-first care model, our experienced Palliative Care teams bring support and guidance to patients, their caregivers, and their loved ones. The result is a positive return on investment that makes us the right choice for diverse populations — including those with Medicare, Medicaid, special needs plans, and group and private insurance.
Exceptional care for exceptional results
Every Palliative Care team begins by listening to the patient, their loved ones, and their caregivers to learn about the illness, symptoms, challenges, and goals. With this information, we develop a care plan that allows everyone to know what to expect and focus on what’s most important.
Every care plan is personalized and includes:
- Symptom and disease management.
- Education about the disease and treatment options.
- Visit summaries and collaboration with the patient’s doctors.
- Communication with loved ones and caregivers.
- Advance care planning.
- Coordination of in-home care and support services.
- 24/7 support and guidance.
Proactive planning, integrated services, and 24/7 phone support ensure patients have what they need to remain comfortable, safe, and medically stable — right at home.
1–2 Centers for Disease Control and Prevention: Chronic Diseases in America (accessed November 2023): cdc.gov.
3 Senderovich, H, McFadyen, K: Palliative Care: Too Good to Be True? Rambam Maimonides Medical Journal (October 2020): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7571433/
