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C-TAC Submits Updated Payment Proposal to HHS

In September, C-TAC met with an expert committee at the U.S. Department of Health and Human services (HHS) to discuss our Advanced Care Model (ACM). From HHS’ thoughtful feedback, C-TAC is excited to submit a new version of our model with additional input from our members, experts in the field, other stakeholders, and consumers.

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 an estimated 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 while supporting flexibility for services to be delivered beyond one year.

The model is designed to meet the needs of the advanced illness population by breaking down silos in the healthcare system, bridging medical and social services, and creating comprehensive care management of an individual’s healthcare needs.

Key updates to the proposal include:

  • Greater emphasis on quality-based payment and lower financial risk
  • Evaluating success through existing Medicare quality measures
  • Testing new patient and family-reported measures unique to the advanced illness population

The scope, population, and services of the ACM remain broadly the same as our initial proposal.

To learn more about the ACM, join us at C-TAC’s National Summit on Advanced Illness Care this November 27-29, 2017 at the Capital Hilton in Washington, D.C. for an interactive breakout session on payment models.

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

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