May 15, 2024 @ 4:00 pm – 5:00 pm
Leslie Emerick

WSHPCO would like to invite you to a Palliative Care Networking Call for an update on the Palliative Care Benefit Workgroup bill (SSB 5936) on Wednesday, May 15th, 4-5 pm! The bill passed the WA State Legislature this past session unanimously in both health care committees and off the floor in both the Senate and the House of Representatives! I am inviting our Pediatric Palliative Care Workgroup to join us for the meeting as well.

Topic: WSHPCO Palliative Care Networking Call
Time: May 15, 2024 04:00 PM Pacific Time (US and Canada)

Join Zoom Meeting: https://us06web.zoom.us/j/82424130105
Meeting ID: 824 2413 0105

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Summary: The Office of the Insurance Commissioner (OIC), in consultation with HCA, must convene a work group to design the parameters of a palliative care benefit and payment model for the benefit of fully insured health plans. OIC may contract with an outside vendor to conduct actuarial analysis as necessary. The work group must coordinate its work with the ongoing work at HCA related to designing a palliative care benefit for Medicaid and the Employee and Retiree Benefits program.

The work group must consider the following elements of a palliative care benefit:

  • clinical eligibility criteria;
  • the services included in the benefit;
  • appropriate staffing;
  • evaluation criteria and reporting requirements; and payment models.

The work group must consist of the following members:

  • one representative from the Washington State Hospice and Palliative Care Organization;
  • four providers currently providing palliative care, including at least one physician;
  • one representative from the Association of Washington Healthcare Plans;
  • one representative from the Washington State Hospital Association;
  • one representative from the Washington State Nurses Association;
  • one representative from the Home Care Association of Washington;
  • one representative from the Washington Health Alliance;
  • one representative each from OIC, HCA, the Department of Social and Health Services, the Health Benefit Exchange, and the Department of Health in-home services program;
  • one representative each from a commercial health carrier and a Medicaid managed care organization;

The work group must convene its first meeting by July 30, 2024, and submit a report to the Legislature detailing its work and any recommendations, including any legislation, by November 1, 2025.

See you all soon!

Leslie Emerick – Director of Public Policy
WA State Hospice & Palliative Care Organization (WSHPCO)