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PTAC Recommends Testing of Payment Model for Older Adults with Chronic Conditions

June 18, 2019

McDermott+Consulting

On June 17, 2019, the Physician-Focused Payment Model Technical Advisory Committee (PTAC) voted to recommended testing of the CAPABLE Provider Focused Payment Model submitted by the Johns Hopkins School of Nursing and the Stanford Clinical Excellence Research Center.

The CAPABLE proposal is based on a pilot study that was funded under a Health Care Innovation Award and was also evaluated as an NIH-funded randomized controlled trial. CAPABLE is designed to improve the functional ability of older adults with chronic conditions and functional limitations.

CMS makes the final decision on which models to implement. A detailed response to PTAC recommendation will be posted on the Centers for Medicare and Medicaid Services (CMS) website. Models approved by CMS will be implemented by the Innovation Center. While CMS has indicated they have considered elements of PTAC proposals in their own model development, as of yet the agency has not implemented any model recommended by PTAC.

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.

The McDermottPlus PTAC Proposal Tracker is available here.

 


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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