CMS Announces Reimbursement Innovation

Today, the Centers for Medicare & Medicaid Service (CMS) released the planned launch of an "innovative payment model with new treatment and transport options to more appropriately and effectively meet beneficiaries’ emergency needs."

Highlights of the release include:

 

"The new model, the Emergency Triage, Treat and Transport (ET3) Model, will make it possible for participating ambulance suppliers and providers to partner with qualified health care practitioners to deliver treatment in place (either on-the-scene or through telehealth) and with alternative destination sites (such as primary care doctors’ offices or urgent-care clinics) to provide care for Medicare beneficiaries following a medical emergency for which they have accessed 911 services."

"The model will use a phased approach through multiple application rounds to maximize participation in regions across the country. In an effort to ensure access to model interventions across all individuals in a region, CMS will encourage ET3 Model participants to partner with other payers, including state Medicaid agencies."

"CMS anticipates releasing a Request for Applications in Summer 2019 to solicit Medicare-enrolled ambulance suppliers and providers. In Fall 2019, to implement the triage lines for low-acuity 911 calls, CMS anticipates issuing a Notice of Funding Opportunity for a limited number of two-year cooperative agreements, available to local governments, their designees, or other entities that operate or have authority over one or more 911 dispatches in geographic locations where ambulance suppliers and providers have been selected to participate."

For a fact sheet on the ET3 Model, please visit: https://www.cms.gov/newsroom/fact-sheets/emergency-triage-treat-and-transport-et3-model.

For more information on the ET3 Model, please visit: https://innovation.cms.gov/initiatives/et3/.

View the full release here.

Strategic Partners


esologoweb

logo 251x70

 

 

Gold Sponsor


Deccan International Stacked

EVENT

pinnaclelogo2019