Policy & Advocacy


The C-TAC pursues a comprehensive policy agenda to help guide advocacy initiatives, including delivery system reform, preference-driven care, caregiver and consumer support, and professional engagement. We will continue to pursue both legislative and regulatory strategies on both the federal and state level with C-TAC members to support a robust advocacy effort, and ensure that those living with advanced illness have access to high-quality, person- and family-centered care. Our principal goal in our advocacy efforts is a Medicare payment demonstration for an advanced illness care model.

C-TAC advocates for a comprehensive policy agenda that includes detailed provisions for ensuring high-quality person-centered care at the local, state, and federal levels. Building on the guidance, feedback, and combined expertise of dozens of experts, thought leaders, and C-TAC member organizations, we have further refined and developed the agenda.

In May 2018, the Coalition to Transform Advanced Care developed a report to highlight innovative models designed to provide palliative care in a community setting to people with advanced illness. They represent a range of organizations and payment types and include a hospice that provides community-based palliative care on an fee-for-service (FFS) basis (Four Seasons), a risk-bearing multispecialty accountable care organization (ACO) practice (ProHEALTH), and a health plan (Aetna). The report also reviews the policy barriers such models face and outlines recommendations to address them.

The report's key findings offer insight on a variety of topics, including payment and support of interdisciplinary team care, upfront investment, rules for the provision of services, and restrictive eligibility requirements for the Medicare Hospice Benefit. To read the full report, please click the button below.

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For more information about C-TAC's policy and advocacy activities, please contact Andrew MacPherson at AMacPherson@thectac.org.