The Landscape of Community-Based Palliative Care

In this course, leaders from NHPCO and AAHPM will discuss how innovative value-based payment models, including several alternative payment models recently announced by the Center for Medicare and Medicaid Innovation (CMMI), are presenting unprecedented opportunities to expand community-based palliative care (CBPC). They will outline key design elements for CBPC that can deliver results and thrive under value-based payment. They will also identify best practices and common pitfalls for hospices seeking to expand their services to include CBPC.

Learning Outcomes
  • Summarize key differences between a value-based population health approach and traditional fee-for-service or hospice models
  • Describe the key design elements for a CBPC program and how they interact to deliver value
  • Outline best practices and common pitfalls for designing a CBPC program that can deliver results, grow and thrive
  • Identify opportunities to expand access to CBPC in recently announced CMMI alternative payment models

Subject Matter Expert

Lori Bishop, MHA, BSN, RN

Vice President of Palliative and Advanced Care, NHPCO

Lori is a healthcare nurse executive focused on innovative and transformational interdisciplinary care delivery models for the vulnerable seriously ill population.  Lori has an extensive clinical background in hospice and palliative care.  Her current position is Vice President of Palliative and Advanced Care at NHPCO.  Previously, Lori was the Chief Advanced Illness Management (AIM) Executive for Sutter Health serving an average daily census of 2500 seriously ill patients across Northern California.  Under her leadership, the Sutter Health AIM program received the inaugural Vanguard Award from the California Hospital Quality Institute in 2016.  In her previous executive role at UnityPoint Health, the system-wide integrated Palliative Care program received the prestigious Circle of Life Award in 2013.

Lori has a history of participating on several state and national boards and committees.  Lori received her RN diploma from Moline Public Hospital School of Nursing, her BSN and MHA from the University of Phoenix. She is a published author and national speaker.  Lori was recognized as a top 100 Great Iowa Nurses in 2009 and received the Iowa Spirit of Hospice Award in 2001.

Joe Rotella, MD, HMDC, FAAHPM

Chief Medical Officer, AAHPM

Joe Rotella served as Chief Medical Officer for Hosparus, a community-based hospice in Louisville, KY for 15 years. During his tenure, he helped establish hospice inpatient units, palliative care consultation services, and a palliative medicine fellowship. Heeding a call to leadership and innovation, Rotella earned an MBA in Entrepreneurship from the University of Louisville. His work with the Academy includes serving on the Quality and Practice Standards Committee, Choosing Wisely Task Force and co-chairing the AAHPM and HPNA Measuring What Matters initiative and the AAHPM Hospice Medical Director Conference.

Joe knew he was bound for medicine when he entered college, but majored in English because he believed medicine belongs as much to the humanities as to the sciences. During his 12 years practicing primary care internal medicine in rural New Hampshire, he witnessed significant suffering in his sickest patients and their families and dedicated himself to finding ways to make their healthcare more human and compassionate. Rotella also founded an oncology support clinic at his local hospital and attended a seminar in England where he was inspired by the work of Dame Cicely Saunders.


None of the planners or faculty for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.


This is a self-paced course, so you can start and stop the course at any time at your convenience. The course includes a video component to provide you with an optimal learning experience.


Member Price

Non-Member Price

Additional Info

Release Date
May 1, 2020

Expiration Date
May 1, 2023