HHS Panel Advances C-TAC and AAHPM’s Payment Models

By Mark Sterling

The Petrie-Flom Center collaborates with the Coalition to Transform Advanced Care (C-TAC) on the Project on Advanced Care and Health Policy.

Last week, a panel of experts convened by the U.S. Department of Health and Human Services (HHS) recommended approval of C-TAC’s “Advanced Care Model”, designed to improve quality and care for individuals with serious and advanced illness. The expert panel, known as the Physician-Focused Payment Model Advisory Committee or PTAC, was created by MACRA.

“With 10,000 Baby Boomers becoming eligible for Medicare every day, many of whom have or will have serious or advanced illness, we must find a way to provide quality care to this population,” said Tom Koutsoumpas, Co-Founder and Co-Chair of C-TAC, during his opening remarks. “C-TAC is honored to stand at the forefront of this exciting opportunity to transform the healthcare system. This is the first step in changing how we care for people most in need in this country.”

If the PTAC’s recommendation is adopted, Medicare will fund a payment demonstration for a care model that includes an interdisciplinary team providing comprehensive care management, and that breaks down silos between curative and palliative care and between traditional medical and social services, based upon the patient’s individual values, preferences, and needs.

The model features person-centered care management, coordination of care across all providers and settings, with 24/7 access to clinical support, and addresses the chaos all-too-often experienced by people living with serious and advanced illness and their families as they navigate our fragmented healthcare system.

The Academy of Hospice and Palliative Care Physicians (AAHPM) also submitted a proposal to PTAC for the seriously ill population, called “Patient and Caregiver Support for Serious Illness.” PTAC recommended both CTAC’s and AAHPM’s models to HHS Secretary Alex Azar for his approval.

“We’ll be better as country for the work [C-TAC and AAHPM] have done,” said Jeffrey Bailet, Executive Vice President at Blue Shield of California and Chairperson of PTAC, during the meeting.

More information is available here: https://www.thectac.org/2018/03/hhs-panel-advances-c-tac-and-aahpms-payment-model-proposal/

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