188 The Intersection of Hospice and Palliative Care: A Conversation with Dr. Jill Schwartz-Chevlin, MD, MBA, FACP
Host Marie Betcher, RN and former hospice nurse, interviews Dr. Jill Schwartz-Chevlin, an internist and palliative physician with experience in home-based primary care, hospice leadership, and value-based care. Dr. Jill explains value-based medicine as aligning incentives with patient outcomes, especially for people with complex chronic illness, by anticipating needs, supporting symptom recognition, and preventing crisis-driven ER and hospital use that can lead to debility and loss of independence. She describes Vynca’s home-based, tech-enabled, interdisciplinary palliative care model across California, Oregon, Washington, Utah, and Idaho, plus enhanced care management and a digital advance care planning platform used in 28 states. She discusses reimbursement challenges, noting Medicaid palliative care programs in California, Hawaii, and New Jersey and Medicare Advantage as current pathways, and explains transferring eligible patients to hospice when available while providing virtual hospice-like support in areas without access. Dr. Jill outlines practical ways to normalize advance care planning conversations and encourages patients and families to advocate for palliative services and proactive planning.
00:00 Welcome and Disclaimer
00:29 Meet Host and Guest
02:13 Dr Jill’s Background
05:40 Value Based Care Explained
11:01 Patient Empowerment and Team Care
13:51 Vynca Locations and Services
15:07 Proactive Home Based Model
20:16 Access and Reimbursement Challenges
23:32 Hospice Transition and Rural Gaps
25:11 Advance Care Planning Tips
30:37 Final Takeaways and Closing
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1. You can use Medicare.gov to help find a hospice agency,
This should be a list of Hospice Agencies local to you or your loved one.
