Growing up in Minnesota, surfing was not a sport that was native to my geography; however, my love for skateboarding, snowboarding, and wakeboarding naturally drew me in. Let me offer a brief disclaimer and say that I have not mastered the art of surfing so much of what I share below about surfing is rooted more in theory than practice. I will use my limited surfing experience to outline how the discussion around mastering value-based care is not all that different.
It has been said that success is frequently determined by the ability to adapt and respond to the speed of change. In years past this concept has been related to such things as technology, economics, demographics, and the political climate.
Charles Kettering said, “Every time you tear a leaf off a calendar, you present a new place for new ideas and progress”. Ketterling served as the head of research at General Motors from 1920 to 1947 and it was his drive for change that helped influence innovation at GM and the industry at large.
I am sure that all Americans awoke on the morning of April 22 and waited with bated breath for the Center for Medicare and Medicaid Innovation (CMMI) to announce the Alternative Payment Model (APM) for Serious Illness/Palliative Care? I recall where I was the moment that the news went viral and made history. While most may not share my enthusiasm for Medicare payment models and the reality may be more likely that the majority do not know what Palliative care is let alone that Medicare was considering a way to fund it. Over the next few paragraphs, we will discuss the CMMI APM demonstration from the lenses of both the payer and the patient as this payment model moves towards a future “benefit.”