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State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. California provided an example of billing codes associated with specified palliative care services in its December 2017 guidance.
States interested in expanding accountable health approaches have a variety of strategies at their disposal, including the Accountable Communities for Health (ACH) model and accountablecare organizations (ACOs). Health Hubs grew out of the state’s Medicaid AccountableCare Organization Demonstration Project.
Worse, it would do so based on flawed economic theory, artificially narrow geographic markets, out-of-context quotations from a handful of documents, and with zero regard for the actual improvements to patient satisfaction and quality of care that would flow from the transaction.
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