Until recently, the lofty vision for palliative care had been overshadowed by the reality of traditional reimbursement (FFS) and delivery (facility-driven, uncoordinated). On this Think Tank, we answer: How do you speak the language of health plans to interest and contract with them? How does it work when there is an ACO in the picture? How do traditional hospices need to organize from a business or clinical perspective to enable a focused palliative care discipline? How much rebranding and reorganizing is necessary? What is the right composition and resource allocation model for the interdisciplinary team? How will authorizations for DME and pharmacy work?