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The Coalition to Transform Advanced Care (C-TAC) Submits Payment Model Proposal to the Department of Health & Human Services (HHS)

The Coalition to Transform Advanced Care (C-TAC) Submits Payment Model Proposal to the Department of Health & Human Services (HHS)

February 17, 2017 – The Coalition to Transform Advanced Care (C-TAC) recently submitted an Alternative Payment Model (APM) proposal to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) at the Department of Health & Human Services (HHS) with the goal of improving person and family-centered outcomes through interventions that are centered on what the person needs (physical, social, spiritual), when and where they need it.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) created new ways for Medicare to pay physicians for the care they provide to Medicare beneficiaries. MACRA also creates incentives for physicians to participate in APMs, including the development of physician-focused payment models. PTAC was established under MACRA to review APM proposals and provide recommendations to the Secretary of Health and Human Services.

Currently, there are four other submissions to PTAC focusing on different medical specialties. PTAC will hold meetings in March and April to review these proposals and provide feedback. Should PTAC recommend our APM proposal, funding would be available for a national demonstration starting in 2018.

National consumer, health plan, and health system leaders who have developed successful evidence-based advanced illness care models provided input in developing C-TAC’s APM proposal.

This is a major step in C-TAC’s goal of addressing payment reform to ensure that all those with advanced illness, especially the sickest and most vulnerable, will receive comprehensive, high-quality, person- and family-centered care that is consistent with their goals and values and honors their dignity.

The proposal is available on PTAC’s website.


About C-TAC

The Coalition to Transform Advanced Care (C-TAC) is a national non-profit, non-partisan alliance of patient and consumer advocacy groups, health care professional and providers, private sector stakeholders, faith-based organizations, and health care payers committed to the vision that all Americans with advanced illness, especially the sickest and most vulnerable, will receive comprehensive, high quality, person-and-family-centered care that is consistent with their goals and values and honors their dignity. For more information about C-TAC, visit TheCTAC.org

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