Designing the future of serious illness, palliative and hospice care.
Palliative Lens Advisors is a physician-led palliative care consulting firm for cancer centers, independent practice groups, hospitals, health systems, hospice organizations, and health plans. We help leaders build, expand, and redesign serious illness programs that are clinically excellent, financially sustainable, and centered on what patients and families actually need.
Led by national palliative care leader Andrew Esch, MD, we bring frontline clinical experience and system-level strategy to one of healthcare's most urgent challenges.
What we help you solve
Healthcare organizations face growing demand for serious illness care while navigating workforce, financial, and regulatory pressures.
Under-resourced programs
Palliative programs are often understaffed, fragmented, and difficult to scale sustainably.
Unclear financial path
Leaders struggle to align high-quality serious illness care with viable financial models.
Pressure to perform
Systems must meet quality, utilization, and value-based care expectations with limited resources.
Structured support
We bring a time-bound approach so your team sees progress quickly.
Serious illness care designed for real-world healthcare systems
Effective palliative and hospice programs must work for patients and families while also fitting clinical workflows, workforce capacity, organizational priorities, and financial realities. We help leadership teams connect those pieces before moving into implementation.
Build or expand a program
Define the population, care model, staffing plan, referral pathways, operating requirements, and phased roadmap for an inpatient, outpatient, oncology, or community-based service.
Strengthen operations
Clarify team roles, workflows, quality measures, capacity constraints, and opportunities to improve access, consistency, and coordination across the care continuum.
Make the financial case
Connect clinical goals with a practical view of program costs, organizational value, reimbursement, utilization, and the incentives created by value-based care arrangements.
Move from ideas to action
Turn broad strategic goals into a sequenced implementation plan with accountable owners, near-term decisions, measurable milestones, and a realistic path forward.
Start with our guide to building a palliative care program, use the executive guide to choosing a palliative care consultant, or discuss your goals.
Palliative care consulting across settings, stages, and strategy
Our work supports healthcare leaders searching for practical expertise in palliative care program design, serious illness care delivery, hospice operations, oncology supportive care, clinical workforce planning, quality measurement, and value-based care.
Hospital and health system programs
Inpatient palliative care, outpatient clinics, system integration, referral criteria, clinical workflows, governance, staffing models, capacity planning, and program expansion.
Cancer center and oncology care
Oncology palliative care, supportive care program design, symptom management access, care coordination, patient navigation, and integration with cancer treatment.
Hospice strategy and operations
Hospice clinical operations, quality improvement, physician advisory support, access, consistency, interdisciplinary teamwork, and alignment across the serious illness continuum.
Financial and value-based strategy
Palliative care business cases, reimbursement considerations, utilization analysis, quality metrics, population health strategy, payer alignment, and financially sustainable care models.