Blue Advantage offers palliative care and other services for members with advancing illness who are approaching end-of-life. Advanced Care Management (ACM) is a nurse practitioner-led community and home-based Palliative Care program that centers on a member support structure that activates an interdisciplinary care team to provide home-based and telephonic support. The goal is to improve quality of life for members and their families through strategies to prevent rapid decline, including early identification of the need for palliative care and relief of suffering through the treatment of pain and other challenges, whether physical, psychosocial, or spiritual.
The member’s primary care provider (PCP) remains in charge of the member’s overall care, writes orders, and sees the member for office visits during the course of palliative care. For a member enrolled in Advanced Care Management services, a specially trained care team works in partnership with the PCP and the member’s other providers to communicate and align on treatment goals and provide support to the member and their family and/or caregiver. Providers who are actively treating Blue Advantage members can contact Blue Advantage’s Integrated Care department.
Contact Blue Advantage’s Integrated Care department about participating in this program toll-free at 1-866-508-7145 (TTY 711).
Please have the following member information available when calling about Advanced Care Management:
Member’s name and date of birth
Member’s Blue Advantage ID number, if available
Member’s address and phone number
PCP’s name
Primary caregiver information, if available
Diagnosis
Referring provider’s name and phone number
Palliative Care Frequently Asked Questions
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Palliative care is appropriate at any age and any stage in a serious illness, and is based on the needs of the member, not the prognosis. Unlike the Original Medicare hospice benefit, palliative care does not have a prognosis restriction and may be provided alongside curative treatment.
A specially trained team, led by a nurse practitioner and comprised of doctors, nurses and other healthcare professionals, work together with the member’s regular doctors to provide an extra layer of support, at no additional cost to the member.
