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The The Coalitio Coalition to to Tr Transform Adv Advanced nced Car Care (C (C TA TAC) A nonpartisan, not for profit alliance of over 140 national healthcare stakeholders dedicated to the idea that all Americans with advanced


  1. The The Coalitio Coalition to to Tr Transform Adv Advanced nced Car Care (C (C ‐ TA TAC) • A nonpartisan, not ‐ for ‐ profit alliance of over 140 national healthcare stakeholders dedicated to the idea that all Americans with advanced illness, receive comprehensive, high ‐ quality, person ‐ centered care that is consistent with their goals, values, and preferences and honors their dignity. What is Advanced Illness? • Advanced illness is defined as one or more conditions becoming serious enough that general health and functioning begin to decline, curative treatment loses its effectiveness, and care becomes increasingly oriented towards comfort ‐‐ this process extends to the end of life.

  2. The The People ople Who Who Embody Embody Our Our Vi Visi sion on Wh What at Norma Norma Wa Wanted:

  3. The The People ople who who Em Embody body Our Our Vi Visi sion on Wh What at Norma Norma Di Did: d:

  4. The The People ople Who Who Embody Embody Our Our Vi Visi sion on Wh What at Shirle Shirley Wa Wanted:

  5. Wh What at Shirle Shirley Di Did: d:

  6. C ‐ TA TAC Me Memb mbership • C ‐ TAC is the “Big Tent” for the advanced illness movement • Our members include: • Provider groups (American Hospital Association, American Geriatrics Society, American College of Physicians, etc.) • Payers (America’s Health Insurance Plans [AHIP], UnitedHealth, Cigna, Centene, Anthem, etc.) • Patient/Consumer groups (AARP, American Heart Association, Alzheimer’s Association, Consumer Coalition for Quality Health Care, National Alliance for Caregiving, etc.) • Funders (Gordon and Betty Moore Foundation, Stupski Foundation, The John A. Hartford Foundation, SCAN Foundation, etc) • Independent Providers (VITAS Healthcare, Hospice of the Western Reserve, Hospice Compassus, etc.)

  7. C ‐ TA TAC Str Strategies gies • Public Education • Provider Training • Care Delivery • Policy and Advocacy

  8. Wh Why Pa Partner wi with the the Aging Aging Netw Network? ork? • Trust • Location • Expertise • The Time is Right • Payment Reform

  9. C ‐ TA TAC & n4a n4a Partner rtnership hip Obj Objecti ctives es • Highlighting Best Practices • AIHS of NE Indiana & Pima Council on Aging • Exploring Policy Solutions • OAA • Payment Model(s) • Bringing together our two worlds: medical & social

  10. A New New Mo Model fo for Adv Advanced nced Illn Illness Car Care Key Features : C ‐ TAC’s Advanced Care Model (ACM): • Concurrent curative and palliative treatment • Recommended for Center for Medicare and Medicaid • Care coordination across Innovation (CMMI) testing by the care providers and Physician ‐ Focused Payment settings Model Technical Advisory • Comprehensive advance Committee (PTAC). care planning • CMMI currently refining the • Shared decision making model (expect an announcement with patient, family, and soon) providers • May be incorporated into a • 24/7 access to clinical broader primary care focused support model – going upstream!

  11. A New New Mo Model fo for Adv Advanced nced Illn Illness Car Care • “ Helping patients and families navigate among disparate providers ” • “ Educating and supporting patients, families, and caregivers in self ‐ management ” • “ Supporting Family Caregivers ” • “ Integrating facility and community social services into the clinical workflow ”

  12. Bi Bipartisan partisan Congr Congressional ssional Support Support fo for a Mo Model

  13. Ol Older der Americ Americans ans Act Act (O (OAA AA) Ide Ideas • Definitional areas – add “advanced illness” • New Leadership Activities for the Administration for Community Living (ACL) • Authorize new pots of money that could be made available on a competitive basis to AAAs to do innovative work on advanced illness. • Education and Training

  14. We We Need Need Yo Your Hel Help!! !! • Better care for those with advanced illness HAS to address their social support needs • New opportunities for CBO ‐ healthcare integration are proliferating (new care models, Medicare Advantage Supplemental Benefits, etc.) • We are collecting information on AAAs’ advanced illness work – please send us your organization’s story! • We are forming work groups on this issue with n4a’s help – please reach out with your interest • We work with numerous state ‐ based coalitions that focus on advanced illness issues – Let us know if you’d like to get connected

  15. • Save the Date! • October 9 ‐ 11, 2019, Minneapolis, Minnesota Register here: https://www.ctacsummit.org/

  16. For more information please contact Davis Baird, Policy and Advocacy Manager at dbaird@thectac.org

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