Working with Private Insurance to Cover Pediatric Concurrent Care

Description

Join us to introduce the new NHPCO resource, Private Insurance Coverage for Pediatric Concurrent Care Toolkit as well as inform providers how to work with private insurance companies to advocate for coverage of concurrent care for pediatric patients. Unlike Medicaid and CHIP, private insurers are not required to cover concurrent care for children which leaves many insurers unfamiliar with concurrent care leading to unclear coverage. However, with some education and advocacy, private insurers will cover this necessary care. Through a case study, faculty will highlight how to set expectations with families, work with private insurance companies, and how to find additional resources.

Learning Outcomes:

• • • Understand how to prepare families for working with private insurance for coverage of concurrent care.
    • Identify ways to work with private insurance companies to educate on concurrent care and get coverage for patients.

Faculty

Jennifer Palmer, MSN, MA,RN, CHPPN

Jennifer Palmer MSN, MA, RN, CHPPN has worked for Hospice of the Western Reserve for 21 years. She is the Pediatric Team Leader and is also a facilitator and part of their Diversity Advisory Council. In addition to providing her team with daily support in managing hospice and palliative care patients, she provides educational support to the area hospitals and pediatric facilities, since she is trained in pediatric ELNEC. Jennifer completed her MSN with a focus in nursing education, in 2020 and uses this focus in her current role as well as holding a role as adjunct faculty for a local community college. Jennifer is part of the pediatric advisory council for NHPCO and has volunteered in multiple roles with the Hospice and Palliative Credentialing Center. Jennifer was recently recognized as the Certified Hospice and Palliative Pediatric Nurse of the Year and received this award during the 2024.

Kimberly Bower, MD

Kimberly Bower, MD HMDC FAAHPM is board certified in Family Medicine and Hospice and Palliative Medicine Physician. She does her clinical and academic work at Rady Children’s Hospital of San Diego and she recently spent 5 years as a medical director and leader of the palliative care program at Blue Shield of California. Throughout her career Dr. Bower has worked to create seamless care for seriously ill children as they transition between, home, clinic, hospital, and hospice settings of care.

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Available Credits for this webinar:
After participating in the live webinar, participants must pay the CE/CME fee and complete an evaluation to receive their selected CE credit. To earn social work credit, participants must also complete a 15-question quiz with a 70 percent passing score. Credit hours and availability are subject to change.

• • • 1 AMA PRA Category 1 Credit(s)™
    • 1 Interprofessional Continuing Education (IPCE) credit
    • 1 Nurse Contact Hours
    • 1 Social Work

For full accreditation statements and credit information, please visit the Pediatric Care Series page.

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