The Visiting Nurse Service of New York's palliative care management model called SPARK, run through a managed care plan, showed net savings of $250 per member per month, which may be useful data for accountable care organizations as they structure their networks, write Dr. Richard Bernstein of the Icahn School of Medicine at Mount Sinai and registered nurse Karol DiBello, associate director of the SPARK program. ACOs will be looking to determine if palliative care is a "wise investment that can reduce preventable admissions and generate more savings than would occur otherwise," they write.

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