March 10, 2020
The Physician-Focused Payment Model Technical Advisory Commission (PTAC) published two new reports evaluating the models that PTAC reviewed and submitted to the Secretary of Health and Human Services for consideration. PTAC is currently scheduled to review these reports during their upcoming March 16 public meeting.
The first report provides an overview of the proposed models PTAC deliberated and voted on as of December 2019. This report highlights themes and common characteristics across the recommended models. The 24 proposals fall into three major categories: targeting a specific health condition, addressing a particular provider group or setting, or covering a range of conditions or providers. The report found that a per-beneficiary-per month payment structure was the most common type of proposed payment methodology.
PTAC released a second report summarizing PTAC voting patterns and comments on the 24 proposed models submitted to the Secretary for consideration as of December 2019. PTAC members vote on payment models based on 10 criteria established by the Secretary. The report found three criteria were more likely to influence a recommendation: scope of the model, quality and cost, and payment methodology.
Established by the Medicare Access and CHIP Reauthorization Act of 2015, PTAC is tasked with providing comments and recommendations to the Centers for Medicare and Medicaid Services on physician payment models. The Committee is nationally recognized for their expertise in physician-focused payment models and related delivery of care.