ET3 - Emergency Triage, Treat and Transport Model

HHS has announced a new payment model that will make Medicare reimbursement available for certain non-transport ambulance services and ambulance transports to alternate destinations. The new model – dubbed the Emergency Triage, Treat and Transport Model, or ET3 – will make it possible for participating first responder agencies to partner with qualified healthcare providers to deliver treatment in place (on-scene or via telehealth) and with alternative destination sites (such as primary care doctors’ offices or urgent-care clinics). Find the latest ET3 news, analysis and reactions from first responders on what ET3 means for industry reimbursement and billing, as well as value-based service here.

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‘A miracle I survived’: Man reunites with FDNY EMS crew who rescued him after massive heart attack
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“When you get a call for cardiac arrest, it usually means the patient is dead,” said Kat Woods, a member of the EMS team. “This was a special job, and this is a special family.”
State suspends licenses of 2 RI FF-EMTs after patient dies
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The licenses of Brandon Colombo and Michael Monteiro were suspended after a woman died following their denial for transport on March 4
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Embracing the use of stair chairs in emergency medical services
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Stryker’s Xpedition powered stair chair can navigate tight corners, and descend or ascend with ease
Fire Chief Marc Bashoor tackles the debate over patient transport in the engine
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Following news of a firefighter disciplined over patient transport in an engine, Bashoor asks a series of questions if and when this is ever the right decision
Community paramedicine as EMS’s CRR program
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CP/MIH provides outreach, promotes wellness and navigates patients into and through the healthcare system as part of a greater objective – community risk reduction
COVID-19 Update: Treatment options, bizarre clinical complications
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MCHD medical directors discuss three promising treatments for COVID-19, return to work guidance and complications presenting in pediatric patients
Pinnacle 2020 Quick Take: Washington Update – The CARES Act 2.0; what the election will mean for EMS
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A policy and regulation expert shares insights on the next wave of coronavirus relief funding, and the future of ET3 and telehealth
Lawmakers request expansion of fire, EMS reimbursements
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The bipartisan group of House representatives is calling for agencies to receive reimbursements for treatment-in-place responses and telehealth use
Sometimes you have to cut, but don’t cut too deep
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When cutting expenditures, be careful you don’t put your patients and agency at risk
Temporary CMS changes provide needed flexibility
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CMS has relaxed ambulance regulations and rules to assist EMS agencies nationwide during the public health emergency
Interactive Timeline: The COVID-19 pandemic in the U.S.
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Learn how COVID-19 has impacted fire/EMS and how public safety has adjusted its response
Applicants selected to participate in ET3 payment model
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The Centers for Medicare & Medicaid Services has selected 205 applicants to test the program for five years
Philadelphia Fire Department selected to test ET3 model
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The city will become one of the first to try the program, which is designed to reduce Medicare costs by reimbursing non-hospital transports
Finding adaptive solutions: Birmingham C.A.R.E.S. treats 'frequent fliers'
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Birmingham community paramedicine program identifies individuals with needs in order to reduce unnecessary future calls taxing the system
Mental health pilot program to give first responders transport flexibility
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A new program would give fire and EMS personnel the ability to transport patients experiencing mental health distress to a specialized facility
5 things to know about the ET3 reimbursement model
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Find out the specifics of the Emergency Treat, Triage and Transport payment model, and how will it affect your EMS agency