State Experience with External Appeals in Managed Care: Implications for Federal Action
On May 24, 1999, a group of state and federal officials met in Washington, DC, to discuss state experiences with external appeal mechanisms. The meeting was sponsored by the National Academy for State Health Policy (NASHP) and made possible through financial support from The David and Lucile Packard Foundation. The meeting allowed exchange of information between state officials who have designed and operated external appeals systems and their federal counterparts, who are crafting potential federal approaches to external appeals. Officials from four states – Missouri, New Jersey, Texas and Vermont – were invited to attend the NASHP meeting. Based on survey findings, these states were selected as a good representation of the types and tenure of appeal systems.
| 1999.Jun_.state_.experience.external.appeals.managed.care_.implications.pdf | 369.1 KB |

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































