ET3 - Emergency Triage, Treat and Transport Model

HHS announced a new payment model that will make Medicare reimbursement available for certain non-transport ambulance services and ambulance transports to alternate destinations in early 2019.

The model – dubbed the Emergency Triage, Treat and Transport Model, or ET3 – will make it possible for participating EMS 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).

The CMS announced the first ET3 performance period (rescheduled due to COVID-19) will begin Jan. 1, 2021.

Find the latest ET3 news, analysis and predictions from EMS leaders on what ET3 means for EMS reimbursement and billing, as well as value-based service here.

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Report: Ambulance charges soar, reimbursement rates rise just 5%
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The cost to patients for ALS ground ambulance services increased 23% from an average $1,042 in 2017 to $1,277 in 2020
7 things we’ve learned from the ‘Ambulances held hostage’ series
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There is a lot to learn from the Page, Wolfberg and Wirth examination of hospital bed delays and the rights of EMS to return to service
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On-demand webinar: Don’t become a cautionary tale: EMS litigation update
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Girard and Associates

Wolfberg and Wirth on how to avoid legal pitfalls
Fight or flight: The pre-hospital dilemma
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The decision to treat on scene or transport should depend on the training and abilities of the responders, not on the equipment at hand
The greatest leadership challenge in EMS
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Take action to implement efficiency models and grow the shrinking workforce
Has less traffic, congestion impacted EMS response time during the pandemic?
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Changing just one of many variables that impact EMS response to 911 calls points to the complexity of changing average response times
Charting the year in review
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Looking back into the data on EMS activations and trends, and looking forward in hope
Podcast: A 2021 look-back - Unpacking the stories and trends affecting EMS and fire
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Cebollero and Bashoor discuss staffing storages, apparatus and ambulance safety, the COVID-19 vaccines, ET3 and telehealth, the use of ketamine, and much more
Ambulances held hostage: Should we stay or should we go?
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How to decide when to leave patients at hospitals with bed delays and 3 considerations for if you stay
Treat in place: An ET3 implementation case study
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ET3 and COVID-19 have increased telehealth utilization to the benefit of patients and the healthcare system in rural Colorado
How burn patient treatment and destination are affected by severity
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Use this guide to determine when to activate air EMS and transport to a level 1 burn center
Close the time gap between stroke assessment and treatment
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This app helps EMS providers triage symptoms more accurately and quickly – and get the patient to the right facility without delay
Staring down the surge: Frontline medical workers on the pandemic
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The Ohio Valley has been hard hit by the latest surge in COVID-19, and that’s impacting all aspects of the health care system
New York insurance, health system collaborate on new care delivery models
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Empire BlueCross BlueShield and Mount Sinai Health System have reached an agreement to offer community paramedicine, ET3 and treat-in-place options
A case for eliminating patient refusals in EMS
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Changing models of patient centered care demand EMS revamp the traditional refusal model and adopt collaborative informed decision making
Ohio FD implements telehealth EMS program as part of CMS trial
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The Akron Fire Department was selected to participate in the CMS ET3 model and has utilized the technology more than 1,000 times since January
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