September 11, 2018
The Physician-Focused Technical Advisory Committee (PTAC) met September 6-7, 2018, in Washington, DC, to review four proposed payment models. At the recent meeting, PTAC recommended one model for implementation, two models for limited-scale testing and one for a new category referred to as, “recommended for attention.”
Path to Model Implementation
CMS will make the final decision on which models to implement. A detailed response to the PTAC recommendations will be posted on the CMS website. Models approved by CMS will be implemented by the Innovation Center. A number of factors, beyond the PTAC recommendation, may influence the agency’s ultimate decision.
As was noted during a recent Congressional hearing, to the frustration of many stakeholders and even some PTAC members, CMS has yet to implement any models recommended by PTAC. In comments made during the September PTAC meeting, Health and Human Services Secretary Alex Azar indicated that the CMS Innovation Center would soon be releasing new models, some of which could be mandatory. He also stated that, “models advanced by PTAC have significantly influenced models we have in the works.”
PTAC is next scheduled to meet December 10-11, 2018.
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The Medicare Access and CHIP Reauthorization Act (MACRA) established the PTAC to provide comments and recommendations to the Secretary of Health and Human Services on physician payment models. There are 11 members on the committee. Additional information is available here.
The McDermottPlus PTAC Proposal Tracker is available here.
McDermottPlus presentation on the PTAC proposal process is available here.