Task Force statement to the PTAC

As a broad-based group of 43 health care stakeholders representing patients, purchasers, payers and providers, the Health Care Transformation Task Force (HCTTF) strongly supports the transition to value-based payment and care delivery. The HCTTF supports the important work of the Physician-Focused Payment Model Technical Advisory Committee (PTAC) to advance development of additional alternate payment models in Medicare. To show support for this initiative, the HCTTF developed a statement on the PTAC which offers recommendations to make the PTAC even more effective.

Read the statement

 

State Innovation Spotlight: Implementing Multi-Payer Bundled Payment Models - Webinar & Resources

Three states – Arkansas, Tennessee, and Ohio – have implemented bundled payments for the Medicaid population to better control episode cost and quality, while aligning incentives across commercial payers to promote efficiency for participating providers. Our environmental scan of active state bundled payment models identified common episode design parameters including benchmark methodology, episode initiators, and evaluation standards across the states that have implemented bundled payments. However, each state took a unique approach to engaging providers and payers in the transformation. This webinar provided an in-depth case study of the experience in Arkansas, including lessons learned from the process of designing a multi-payer bundled payment program, and integration with other value-based payment models, the payer perspective on participating in the design of bundled payment models in Ohio.

 

View Presentation Slides

View the Webinar Recording

 

Additional Resources:

State Bundled Payment Models

State-by-state comparison of active bundled payment programs, including episode methodology and lessons learned from program implementation.

 

Task Force submits a statement for the record on the CHRONIC Care Act of 2017

The Task Force submitted a statement for the record on the recently reintroduced CHRONIC Care Act of 2017. The Task Force’s statement touches on a number of issues, such as expansion of value-based insurance design, supplemental benefits for Medicare Advantage enrollees, telehealth flexibility, voluntary ACO alignment, and lowered out-of-pocket cost burden for ACO beneficiaries.

Read the statement.

 

The Task Force provides response to CMS regarding Request for Information on Efficiencies and Flexibilities

The Task Force responded to the Request for Information included in CMS-1677-P: Fiscal Year (FY) 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System Proposed Rule. The ability for providers to be successful in value-based payment models depends on several factors, and one key factor is the capacity to operate under a regulatory framework that is conducive to effective, efficient, patient-centered and high-quality care. The Task Force identified areas of existing Medicare regulatory structures that were designed to support a fee-for-service payment environment that focused on individual service delivery and are not ideal or necessary to support a modernized, value-based world which focuses on greater coordination and integration of care.

Read the full statement here.

The Task Force asks the Trump administration to show support for the transition to value-based payment and care delivery

The Task Force believes the Department of Health & Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS), has a great opportunity to assert leadership by clearly expressing support for value-based payment and encouraging industry to sustain momentum in its transition. Our members are forging ahead with committed efforts in the commercial sector, and we urge HHS to recognize and applaud these efforts to reduce cost and improve quality. HHS can partner with the commercial sector by continuing to support public and private sector collaboration, and actively pursue value-based payment in Medicare and support innovative state value-based payment activities.

Read the letter

 

 

Integrating Social Services into Care for the High-Need, High-Cost Population: Webinar Recording and Resources

Effectively caring for high-need, high-cost patients requires providers to think beyond the clinical setting and tackle the social determinants of health. Yet integrating social services into health care can be a daunting challenge that requires a clear understanding of the target population, available resources, and an effective integration model.  

Join our speakers as they walk through a new Task Force-endorsed framework on social services integration, and provide an in-depth case study on how one high-performing community health system has successfully infused social services into its care delivery system.

View the webinar recording.

Presentation Deck

Additional Resources:

HCTTF Resource Sheet

Additional relevant programs and resources for organizations interested in social services integration.

Better Care Playbook

A collaborative project that is geared at helping health care organizations participating in value-based payment models and adopting evidence-based interventions to improve outcomes and lower overall costs of care

AHRQ Statistical Brief on Health Expenditure Concentration

 

 

Task Force Joins Leading Health Groups Urging CMS to Promote APMs in Medicare Advantage

The Health Care Transformation Task Force joined nine organizations in a letter to Department of Health & Human Services Secretary Tom Price, proposing that the Administration offer credit for advanced alternative payment model (APM) arrangements within Medicare Advantage as part of the Medicare Access and CHIP Reauthorization Act (MACRA). The Task Force co-signed the letter with the following national health organizations: CAPG, NCQA, Healthcare Leadership Council, America’s Health Insurance Plans, Pacific Business Group on Health, Direct Primary Care, Alliance of Community Health Plans, National Coalition on Health Care, and the Blue Cross Blue Shield Association.

Read the letter