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PTAC Recommends an Oncology Alternative Payment Model

December 19, 2018

McDermott+Consulting

At its December 10, 2018, public meeting, the Physician-Focused Payment Model Technical Advisory Committee (PTAC) voted unanimously to recommend the proposed “Making Accountable Sustainable Oncology Networks (MASON)” alternative payment model (APM) to the secretary of the Department of Health and Human Services (HHS). This model was submitted by Innovative Oncology Business Solutions.

The proposal is for a pilot program involving 16 oncology practices that comprise the National Cancer Care Alliance. The model consists of a prescribed care model with a specified infrastructure to support oncology practice transformation combined with a payment model to support infrastructure costs and incentivize adherence to evidence-based care pathways.

PTAC also recommended further developing and implementing the proposal as a payment model. Other options for recommendation included testing and inclusion in a current Center for Medicare and Medicaid Innovation proposal.

CMS will make the final decision on which models to implement. To date, CMS has not implemented any models recommended by PTAC. 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.

PTAC is next scheduled to meet in March 2019.

Established by the Medicare Access and CHIP Reauthorization Act of 2015, 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.

 


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at 202-204-1459 or smadhani@mcdermottplus.com.

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