PTAC Posts Advanced Primary Care APM Proposal for Comment

The Physician-Focused Technical Advisory Committee (PTAC) is accepting comments until May 18, 2017, on an Advanced Primary Care Advanced Payment Model (APM) proposal submitted by the American Association for Family Physicians.


The proposed APM would establish a new payment structure for participating primary care practices consisting of a combination of four mechanisms: a prospective, risk-adjusted, primary care global payment for direct patient care; fee-for-service limited to services not included in the primary care global fee; prospective, risk-adjusted, population-based payment; and performance-based incentive payments that hold physicians appropriately accountable for quality and costs.

The letter of interest (LOI) is available here.

The proposal is available here.

Comments should be submitted to:

Additionally, PTAC also posted two LOIs. The Association of Hip and Knee Surgeons submitted a LOI for an APM for total knee arthroplasty and LUGPA submitted a LOI for a model for newly diagnosed patients with organ-confirmed prostate cancer.

Established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), PTAC is tasked with providing comments and recommendations to CMS on physician payment models. The Committee includes 11 members who are nationally recognized for their expertise in physician-focused payment models and related delivery of care. More information on PTAC is available on their website.

The McDermottPlus PTAC Proposal Tracker is available here.

McDermottPlus presentation on the PTAC proposal process is available here.


For more information visit the McDermottPlus MACRA Resource Center or contact Sheila Madhani at 202-204-1459,