b'Delivering Care in the Gap: The Bridge to Primary Care This option connects patients with a clinician who addressesCare in the Gap with a new, but less intensive encounter than the one they experienced in the emergency department.A physician, NP, or PA provides one of several options as appropriate,for example: Telemedicine visit Home visit Medication review and adjustment Return to ED if neededThese lower acuity visits support ongoing care, address straightforward clinical issues, prevent unnecessary escalation and bounce-backs, and transition the patient to primary care or an appropriate specialist. They also right-size the ED, reserving its use for more acute and complex patients, as originally intended. The Acute Unscheduled Care Model (AUCM)The ACEP-proposed Acute Unscheduled Care Model 16-17is analternative payment model under consideration by The Centerfor Medicare and Medicaid Innovation (CMMI). This alternative payment model extends clinical and economic accountability fora qualifying emergency care visit to a full 30 days after that initial ED visit.The reason I spent much of my recent career working with emergency medicine colleagues to develop this model and submit it to CMS is that it provides additional resources to support interventions addressing observations like those above, concurrent with the professional accountability inherent in a value-based model. For high-cost andhigher-acuity patientsthose most vulnerable to adverse events after leaving the EDthe model extends the EDs opportunity and accountability past the initial ED encounter. This model addressesCare in the Gap. The AUCM proposes financial rewards (or penalties) for clinical bundles related to care coordination and delivery, including: Safe discharge options Coordination and management of post-discharge services Avoidance of post-ED adverse events and readmissionsThe model provides additional resources that support these efforts (telemedicine, coordination of care, home interventions). Under our current system, these are not available to emergency physicians, limiting our ability to make an impact.Together, we healTogether, we heal 16Together, we heal SCP HEALTHIFROM INSIGHTS TO INTERVENTIONS'