Blog Archives - The Carolinas Center

Payment Models

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Janet Bull, MD, MBA, FAAHPM is the Chief Medical Officer at Four Seasons Compassion and holds a consultant assistant professorship at Duke University Medical Center. She is a Fellow of the AAHPM, board certified in hospice and palliative medicine and holds a hospice medical director certification. She is the current Past President of the American Academy of Hospice and Palliative Medicine and has worked as a core member of the team for the Academy on the development of the Alternative Payment Model for Serious Illness Care.

Moving to an Alternative Payment Model

The transition from a fee for […]


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Improving Access to #EOL Care: The Rural Access to Hospice Act

Imagine getting a call from one of your patients late one night. It is snowing, and it is late, but it is clear that your patient is in need of a visit. You grab your bag and head out the door, only to realize that not only is it snowing, but the snow is drifting to over six feet high, and visibility is about zero. And the roads haven’t been cleared. And your patient is an hour outside of town, on a clear day.

Patients in rural areas […]

Own Your Health

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Own Your Health: Advance Care Planning in a World of Growing Consumer Empowerment

We as American consumers have more power and choices than ever before. For many people, the days of relying on the options at a single store or a catalog are gone. I for one enjoy the thrill of the hunt for the best deal on an item. Recently I was in the market to buy a new slow cooker and relied on my usual strategy of researching products and finding the best deal after reviewing offers from newspaper advertisements and websites of several home goods stores and […]

Ways to Indulge a Caregiver This Holiday Season

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by Beverly Nelson
Caregivers work professionally or domestically to provide physical and emotional support for those in need. A caregiver can be a parent, a child, a relative or someone who is close to the person who needs care. However, caregivers are often associated with seniors who lack the mental or physical capacity to live independently.
As the holiday season approaches, and we go about our yearly Christmas shopping habits, it’s important to keep these citizens in mind. Since caregiving can be very stressful, providing a gift that will alleviate anxiety, while improving emotional and physical self-care will […]