HHS: Thumbs Up for Advanced Care Service Delivery Model

Legislation | July 02, 2018 | by Andrea Price-Carter

In a June 13, 2018 letter, the U.S. Department of Health and Human Services (HHS) Secretary Alex Azar gave positive initial reviews of an Advanced Care Model (ACM) Service Delivery and Advanced Alternative Payment Model.  The ACM is included in the “Patient Choice and Quality Care Act of 2017 (S. 1334 / H.R. 2797)” which LeadingAge strongly supports. 

Secretary Azar was responding to recent recommendations from the Physician-Focused Payment Technical Advisory Committee (PTAC), regarding several payment model proposals submitted by stakeholders. The Coalition to Transform Advanced Care (C-TAC), of which Leading Age is a member, submitted the ACM proposal for consideration.

The ACM model directs the Centers for Medicare and Medicaid Services (CMS) to create and test a team-based planning process designed to align the care a Medicare patient receives with his or her goals of care, values and preferences. Members of an interdisciplinary team would work together to meet the physical, medical, psychosocial, emotional, and spiritual needs of the patient and caregivers by providing important information and services.

On the PTAC process, Secretary Azar said “HHS is clearly benefitting from PTAC’s comments and recommendations as we explore designing a future payment model for seriously ill beneficiaries.” Ultimately, the CMS Innovation Center (CMMI) has the authority to test various payment and service delivery models that aim to achieve better care for patients and lowers costs through improvements within our health care system – which includes any proposal that develops an ACM Service Delivery and Advanced Alternative Payment Model.