Value-Based Payment Reform for Serious Illness

New alternative payment models aiming to limit preventable or wasteful spending while improving quality are well-suited for the seriously ill, who often receive expensive, fragmented care that does not account for their needs. Accountable Care Organizations in particular support innovative efforts to identify and transform care for this patient population. Improving model components like quality measurement and risk adjustment and building a diverse palliative care-trained workforce will accelerate progress by helping more organizations participate in serious illness models and develop capabilities to improve care.