CIPM Practice Examples

CIPM Practice Examples Towards Standards Development

AACIPM is responding to the interests of many national efforts, including recommendations found in the 2019 published report of the HHS Best Practices Pain Management Task Force, notably section 3.4.2.–Insurance Coverage for Complex Management Situations.  Recommendations include addressing the gaps that there are inconsistent payer policies and that coordinated, individualized, interdisciplinary care for chronic pain management is a best practice.

To this end, AACIPM will:

  • Convene key stakeholders to create a list of better practices examples for comprehensive, interdisciplinary, multimodal, integrative pain management
  • As available, include outcomes, observations, from these practice examples to inform stakeholders and promote continuous quality improvement.
  • Identify opportunities to promote comprehensive pain management across a wider group of stakeholders to change the paradigm.

Background:

In the shadow of nationwide and localized efforts to combat the epidemic, there is tremendous suffering associated with inadequately treated chronic pain, which affects 50 million Americans – just over 20 percent of the adult population. Half of the people with untreated chronic pain experience pain so severe it significantly impairs their ability to function or carry out regular daily activities.

To our knowledge, there is no central hub to find examples of CIPM in practice across a variety of settings and patient populations. Although there is reimbursement for some of the healthcare providers involved in this care and health plans cover some of the treatments for pain, there is still a distinct challenge for patients to focus on their total well-being and achieve person-centered comprehensive, multimodal, interdisciplinary, integrated and integrative pain care.  People with pain without adequate treatment are suffering from adverse consequences (e.g., loss of work, low productivity, suicide, overdose, repeated hospital visits) and we must help to educate and train more providers to understand this pathway to comprehensive pain care.

With increased demand for policies that promote overall health, including evidence-based pain management that include the range of pharmacological and non-pharmacological care based on individual needs, we are in a time of change.  Innovative ways to better manage pain and whole person health are being piloted and implemented, for example, the Veterans Health Administration, private payers and self-insured employers, and investors are interested in supporting these kinds of efforts.  As we are in a period of change and innovation in how comprehensive, interdisciplinary, integrative pain care is being paid for, it is important to focus on standards and outcomes in our discussions so that people with pain can rely on quality care and providers can be incentivized to provide quality care connected to consistent outcomes.  And valid outcome measures for pain management should be utilized.

The role that AACIPM will play is to bring together public and private payers, purchasers of healthcare, providers, patients and researchers to share existing and emerging better CIPM practices and outcomes data as available so that it can be synthesized and shared more widely among more stakeholders.

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