The National Acadmies of Sciences, Engineering, and Medicine: “The Centers for Medicare & Medicaid Services (CMS) announced a ruling in July 2015 to pay doctors to counsel patients about end-of-life care or “advance care planning,” a term meant to reflect that people should make their end-of-life wishes known as early as when they get a driver’s license and should reevaluate their decisions at different stages of life. The ruling cites the IOM report Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life, which discussed vulnerabilities in the current health care system related particularly to those who are approaching the end of life, and states that one of the largest barriers in providing efficient, quality end-of-life care is the lack of coordination and communication among different components of the health care system. The report states that better coordination of care is essential in improving patient outcomes and that end-of-life care should be individualized based on patient values, goals, needs, and informed preferences with a recognition that individual service needs and intensity will change over time. The policy change went into effect on January 1, 2016.”