PEPC Submits RFI Response on Informing PTAC’s Review of Care Coordination and PFPMs

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) solicited a Request For Information (RFI) about current perspectives on the role care coordination can play in optimizing health care delivery and
value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs) specifically.

Given our specific area of focus, PEPC is well-positioned to offer thoughts in response to Question 15 in the RFI (“In the context of APMs and PFPMs for Medicare beneficiaries (including dual eligibles), what federal and/or state policy issues exist that may need to be addressed to facilitate appropriate and effective use of care coordination?”). 

To facilitate effective and appropriate use of care coordination in APMs and PFPMs, federal and state policymakers must: 1) encourage physicians and practices to adopt value-based care models which inherently incorporate and rely on care coordination to drive improvements in quality and cost savings; 2) reduce barriers to care coordination by discouraging large, market-dominant provider groups from using patient information for anti-competitive purposes; and 3) build care coordination into the metrics of success for APMs and PFPMs.

To read the full letter, please click here.

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