Keys to Discussing ‘Hard Realities’ in Pediatric Advance Care Planning Conversations

Many clinicians across the health continuum lack the training and skill sets needed to have goals of care conversations for pediatric patients. Advance care planning discussions are an important, but oftentimes challenging key to supporting serious and terminally ill children and their families, according to Dr. Chris Adrian, a pediatric palliative care physician and writer […]

Done Right, Advance Care Planning Can Reduce High-Acuity Utilization

Advance care planning, done effectively, can reduce aggressive treatments as patients near the end of life, recent research has found. Researchers from the Regenstrief Institute and Indiana University School of Nursing recently conducted a meta-analysis of studies involving more than 33,000 cancer patients to evaluate the relationship between advance care planning and utilization of aggressive […]

Advance Care Planning Billing Rules Impede Equitable Access

Current advance care planning reimbursement structures are limiting utilization and access of these services, particularly among communities of color. The payment barriers blocking more equitable advance care planning are two-fold, existing on both the health care provider and patient sides. On the patient side, Medicare beneficiaries face out-of-pocket costs when advance care planning is performed […]

Dartmouth Project Seeks to Determine Best Timing for Serious Illness Talks

New-Hampshire-based Dartmouth Cancer Center has launched a quality improvement project aimed at ensuring timely goals of care conversations.  Through the project, the center seeks to design an interdisciplinary serious illness conversation care model.The Dartmouth Cancer Center, The Dartmouth Institute for Health Policy & Clinical Practice and Dartmouth Health are collaborating on the initiative through a […]

New Studies Guide When to Have End-of-Life Care Conversations

Researchers recently found that “trigger systems” signaling when a patient may need palliative care can boost utilization of those services, as well as advance care planning and hospice admissions. The American Journal of Managed Care recently examined the impacts of two studies published in the Journal of Clinical Oncology that explored ways to help providers […]

Discrimination Fears Deter LGBTQ+ Patients From Advance Care Planning

Members of LGBTQ+ communities are foregoing advance care planning conversations due to fears of discrimination, recent research has found. A little more than 57% of roughly 200 sexual and gender minority adults indicated in a survey that a fear of disclosing their sexual orientation or gender identity was a barricade to advance care planning, according […]

Koda Health to Expand Nationwide by Year’s End

Advance care planning tech firm Koda Health is expanding nationwide, with completion expected by the first quarter of 2023. The company’s platform is designed to digitize patients’ decision-making around their care preferences and goals. Koda in February secured $3.5 million in growth capital to spur the expansion of its platform and hire additional staff. Ecliptic […]

Advance Care Planning Gaining Recognition, But Not Utilization

More people are recognizing the value of advance care planning, but less are apt to follow through with those discussions. More than two-thirds (68%) of Americans indicated that discussing end-of-life preparations with their loved ones is important in a recent nationwide survey from life insurance provider and global technology company Ethos. However, among these individuals, […]

Project Talk Seeks Best Advance Care Planning Practices for Dementia Patients in Underserved Groups

A new extension of Project Talk, an ongoing effort to test advance care planning interventions in underserved communities, is zeroing in on the needs of dementia patients. Penn State Milton S. Hershey Medical Center, Hospice Foundation of America (HFA), and the University of Kentucky launched Project Talk last year. The five-year project aims to boost […]