Health systems face more pressure than ever to improve quality and cut costs. However, the adoption of palliative care, long shown to be an effective means of improving long-term patient outcomes, actually seems to be falling in CV service lines: A study recently published in JAMA shows that the proportion of cardiologists referring patients for palliative care between 2015 and 2017 dropped by 6.5% to a mere 10.5%, and that referrals for CV patients lagged behind those for patients with other diseases. As the push to value-based care accelerates, the CV service line needs a course correction. Here's why palliative care should be a priority at your program—and how to incorporate it into daily CV care.