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Palliative care achieves all the key objectives of health reform and health policy revisions, and recent federal legislation and regulation is improving access to palliative care services. In addition, healthcare payment is shifting toward paying for outcomes and value, and palliative care can contribute to achieving those goals. Health policy and payment policy affect patient care and access to care, what palliative advanced practice registered nurses (APRNs) can do clinically, and what they can be reimbursed for. Palliative care is attractive to policymakers because it improves care for serious illness while also controlling costs. This chapter reviews how palliative care meets policy goals, recent developments in federal legislation and regulation for serious illness, new payment models for that population, and how palliative APRNs can play a role in policy development and implementation. |
