Payer-Provider Partnerships: Lesson Two

Defining the Eligible Population

Kathleen Kerr, Consultant, Kerr Healthcare Analytics
Kate Meyers, Senior Program Officer, High-Value Care


The clinical, operational, and social criteria used to define the target population will influence the number of potentially eligible patients, the number that are referred, and the types of supports that need to be delivered.

  • Be intentional in defining the target population
  • Understand the needs of the target population
  • Appreciate how eligibility will be assessed and by whom
  • Anticipate how eligibility criteria will impact volume, costs, and outcomes

This lesson is part of a series on successful payer-provider partnerships in community-based palliative care. Learn more here.