The Future of Palliative Care? Community-Based Models with Alan Chiu, Mindy Stewart-Coffee, and Ben Thompson
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
47 min
3 speakers
8 chapters
transcribed 10 hours ago
Transcript
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What is the overall vision for community‑based palliative care and why is it needed?
This episode of the Jerry Paul podcast is CME eligible.
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Welcome to the Jerry Powell podcast. This is Eric Wadera. This
is
Alex Smith. Alex, we got a fun-filled episode going on today. We got a fun episode. We
got this idea at CAPSEA in Philadelphia at the conference when Alan came up to us and said, hey, we should do a podcast about this. Yeah. So I'm going to introduce Alan first. Alan Chu is a palliative care doctor. He's chief of palliative care at Monogram Health. Alan, welcome to the Jerry Powell podcast. Happy to be here. And we're delighted to welcome Mindy Stewart-Coffey, who is a palliative care leader and national vice president for palliative care at Optum Home and Community. Mindy, welcome to the Jerry Pell podcast.
Thanks for having
me. And Ben Thompson, who's a palliative care doctor and national medical director for hospice and palliative care at Gentiva. Ben, welcome to the Jerry Pell podcast. It's a dream.
So our topic today is we're going to be talking about community-based palliative care and this... I don't know. I don't even know what our title is for this podcast.
Yeah, maybe we can workshop it throughout. Maybe by the end, it'll be part of our journey for this hour.
Yeah. Settle on a
title by the end. We'll get ideas.
We'll get ideas. But we got a lot to talk about. I'm really excited because there is a tremendous growth area, but it also potentially... poses some, I don't know, is it too strong to say existential threat to palliative care? But we'll talk about that. But before we do, Alan, do you have the song request?
Yes. So I ultimately landed on a very timely song that's been in the media recently, Defying Gravity. from the musical Wicke. The song is about breaking away from expectations. The words are relatively self-explanatory, and it's a... A good reflection, a good synopsis of how we feel for those of us who are in this community-based space where we want to be working towards a different future than the limitations we've gotten so used to with on the fee-for-service side of things. It inspires me. It helps me to get through my day. And when I'm in the shower, I love singing that final belt. So
listeners, sing along with me. Here's a little bit.
Something has changed within me. Something is not the same. I'm through with playing by the rules of someone else's game. Too late for second guessing. Too late to lose more sleep. It's time to trust my instincts. Close my eyes and leave. It's time to try defying gravity I think I'll keep defying gravity Kiss me goodbye, defying gravity And you can't pull me down That's fun. We're going to make it a mission. We'll make as many references to that song during our podcast. I look forward to that. All
right. Well, Alan, let me ask you this. How are you feeling about palliative care? Are we defying gravity, continued growth? I don't want to say what do you see, but how are you feeling about it?
Yeah. I overall am very optimistic about our field. You alluded to some of the worries that we've expressed planning for this. And I do have concerns around some of the growth.
How do the guests describe the shift from fee‑for‑service to value‑based care models?
But overall, I'm very optimistic, partially because there's a lot of acknowledgement that the status quo, the way things have been, is not sustainable for very long.
Tell me what you mean by the status quo. Because this is the second time you've mentioned that a change is needed and the status quo is not what we need.
So there's the status quo for palliative care. And then there's the larger status quo for the larger healthcare field, particularly around our aging senior Medicare population. You don't need to look in the news very long to see that there's a huge cost expense issue with the way that our healthcare spend is going on in this country. We've talked really extensively about the silver tsunami and the increasing number of folks that are not only just entering into their senior years, but starting to develop those polymorbid, those polychronic multiple diseases, developing cancers, developing dementia. And so that need is only gonna increase greater and greater and the cost is getting more.
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Chapters
8 chapters
1
What is the overall vision for community‑based palliative care and why is it needed?
0:00–4:06
2
How do the guests describe the shift from fee‑for‑service to value‑based care models?
4:06–10:17
3
What are the main concerns about for‑profit and private‑equity investment in palliative care?
10:17–16:03
4
How can standards and a formal palliative‑care benefit ensure quality across different models?
16:03–22:34
5
What role do workforce shortages and interdisciplinary teams play in scaling community palliative care?
22:34–28:34
6
How do Medicare Advantage and other risk‑bearing contracts influence palliative‑care delivery?
28:34–34:24
7
What does ‘palliative care 3.0’ look like according to the experts’ ‘magic‑wand’ vision?
34:24–40:27
8
Why is it important for palliative‑care leaders to be at the table and shape the future of the field?
40:27–47:03
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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