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C-TAC Lays Out Case for Advanced Care Reform to HHS Panel

Today, C-TAC met with the Physician-Focused Payment Model Technical Advisory Committee (PTAC) at the U.S. Department of Health and Human services (HHS) to lay out the need for advanced care payment reform. C-TAC and this group of payment model experts had a constructive discussion on C-TAC’s Advanced Care Model (ACM).

The ACM is an advanced alternative payment model developed from a broad evidence base of successful programs and shareholder input. If fully implemented, the ACM would affect approximately 25% of Medicare expenditures and support over 1 million beneficiaries. The model’s target population is comprised of Medicare beneficiaries with advanced chronic conditions in their last year of life.

The model is designed to meet the needs of the advanced illness population by breaking down silos within the healthcare system, bridging traditional medical and social services, and creating comprehensive care management of an individual’s healthcare needs. This would result in better outcomes for patients and their families by delivering high quality care consistent with their goals and values.

C-TAC thanks the panel for their thoughtful insights and looks forward to incorporating the feedback into our model.

PTAC is an eleven-member panel of experts in healthcare payment models created in 2015 as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA created new ways for Medicare to pay physicians for the care they provide beneficiaries. PTAC receives industry proposals and evaluates them on criteria such as scope, quality, cost, and patient choice and safety.

Find more information on C-TAC’s ACM here.

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