Jennifer Malin MD PhD Staff Vice President Clinical Strategy Assessing Progress in EndofLife and Serious Illness Care National Academy of Medicine May 23 2016 COMPANY CONFIDENTIAL FOR INTERNAL USE ONLY DO NOT COPY ID: 746614
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Slide1
Advanced Illness Care Progress & Opportunities
Jennifer Malin, MD, PhD Staff Vice President, Clinical StrategyAssessing Progress in End-of-Life and Serious Illness CareNational Academy of MedicineMay 23, 2016
COMPANY CONFIDENTIAL | FOR INTERNAL USE ONLY | DO NOT COPYSlide2
Early access to palliative care is critical to improve quality of care
ANTHEM INC. CONFIDENTIAL | DO NOT COPY | DO NOT DISTRIBUTE
2
60%
of Anthem members with cancer have a hospital admission in month prior to death
30%
h
ave an ICU admission in month prior to death
Goals of Palliative Care
– are to anticipate,
p
revent and reduce suffering and to support
the best possible quality of life for the patient
and family, regardless of the stage of disease
or the need for other therapies.
Slide3
And, $4,000 to $7,000 lower cost for patients who receive palliative care
ANTHEM INC. CONFIDENTIAL | DO NOT COPY | DO NOT DISTRIBUTE3
3 month improvement in survival
Smith et al. Palliative
Medicine 2014,
28:130-50
Hughes and Smith.
Annu
Rev Public Health. 2014;35:459-75
Same or better quality of life
Temel
et al.
N
Engl
J Med
2010;363:733-42;
Bakitas
et al. J
Clin
Oncol
2015; 33:1438-45.
Gade
et al. J Palliative Medicine 2008
; 11:180-90;
Grudzen
et al
.
AAHPM Abstracts 2015; Higginson
Lancet
Respir
Med
2014; 2
: 979–87Slide4
ANTHEM INC. CONFIDENTIAL | DO NOT COPY | DO NOT DISTRIBUTE
466%
of U.S. hospitals
with more
than 50 beds have a
palliative care team
Access to palliative care outside of inpatient setting or hospice remains extremely limited
Current workforce 6600 board certified palliative
care physicians is only 1:20,000 persons with chronic illness
Estimated shortage of 18,000 palliative care physicians
15% of spots in palliative care fellowship unfilledSlide5
Quill
TE and
Abernethy AP.
N
Engl J Med. 2013 Mar
28;368:1173-5
Need integrated advanced illness care in addition to specialty palliative care
Primary palliative care provided by physician assuming primary responsibility for caring for patients – e.g. PCP, oncologist, cardiologist – with support as needed from palliative care specialist
HOSPICE
Specialty Palliative Care
Primary Care
Specialist disease care (e.g. oncology, cardiology) + Integrated Primary Palliative CareSlide6
Anthem efforts to improve access to advanced illness care
Expansion of hospice benefitAdded look-up for physicians board
certified
in
hospice and palliative care medicine on Anthem
website “Find a Doctor
”
Palliative care needs assessment implemented in case management programs
Pilots with vendors that provide palliative care solutions
Developing integrated advanced illness care program to support network physicians in providing primary palliative care