Comprehensive Palliative Care for Serious Illness (CPCSI) Pilots

Prioritizing the Patient

CaroNova is supporting implementation of a comprehensive care model and payment infrastructure to support people who are seriously ill, including those facing the end of their lives, and their families. Through pilots in the Carolinas, learnings will inform core elements for the CPCSI model, expected patient outcomes, sustainable payment models, and a framework for collaboration between providers and payors.

Where We Are

Leveraging a value-based payment framework, we are piloting an approach to implement and validate a scalable way of delivering and financing comprehensive serious illness care. The CPCSI model centers on:

engaging patients who meet defined eligibility criteria related to disease state, health care utilization, and functional status;
ensuring that an interdisciplinary care team is in place to provide comprehensive palliative care services to patients and their caregivers; and
using data to ensure that patient, caregiver, and provider experience of care improves and to determine the value generated from the model.

These collaborative partnership pilots are being conducted in South Carolina (with MUSC Health and BlueCross BlueShield of South Carolina) and North Carolina (with Carolina Caring and Piedmont HealthCare) to refine the CPCSI model and determine a payment methodology that allows for payor-agnostic scalability.

Where We're Going

CaroNova aims to introduce additional payor partners to both pilots in 2026, increasing patient volumes and positioning both sites for sustainable funding.
CaroNova is currently researching palliative care Medicaid payment designs and implementation successes from other states to leverage those learnings for the Carolinas.
CaroNova is engaging partners in both states to better prepare the health workforce to engage and support the serious illness population.
CaroNova plans to launch a serious illness bi-state learning collaborative in 2026, including providers, payors, and other stakeholders.

Seven Steps to Innovation & Impact

CaroNova’s approach to pioneering lasting real-world health solutions is systematic, research-driven, collaborative, and community-minded. We purposely identify opportunities where partners can work together to cultivate, co-design, and catalyze health improvements in the Carolinas through our process.

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Innovation Sprint:
Identify sprint sites to test proof of concept.
Apply learnings from the sprints to further refine the model.
Develop an implementation assistance plan

Discover How We Work

Resources

CPCSI Model Overview

Serious Illness Care Journey Map

Opportunities Within Serious Illness Care

Comprehensive Palliative Care for Serious Illness Framework

Prioritizing the Patient: An Individualized Approach to End-of-Life Care

Featured Stories

Interested In Partnering With Us?

CaroNova brings together healthcare leaders, policymakers, community organizations, and investors to tackle the Carolinas’ most pressing health challenges.

We help you test bold ideas, learn what works, and scale solutions that improve care for all Carolinians. Whether you’re starting a new initiative or seeking to expand your impact, we’re your partner in making it happen.

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