January 03, 2018
The Physician-Focused Technical Advisory Committee (PTAC) met December 18-20, 2017, in Washington, DC, to review seven proposed payment models. A vote by PTAC results in one of the following decisions directed to CMS:
At the recent meeting, PTAC recommended one model for implementation and one model for limited-scale testing. PTAC did not recommend implementation or testing for the five remaining models. The chart below summarizes PTAC’s decisions.
|Proposal||Submitter||Final PTAC Vote
|Incident ESRD Clinical Episode Payment Model||Renal Physicians Association||Recommend for Implementation
|Advanced Primary Care Alternative Payment Model (APC-APM) for Delivering Patient-Centered||American Academy of Family Physicians||Recommend for Limited-Scale Testing
|Multi-provider Bundled Episode-of-Care Payment Model for Treatment of Chronic Hepatitis C Virus (HCV) Using Care Coordination by Employed Physicians in Hospital Outpatient Clinics||New York City Department of Health and Mental Hygiene||Not Recommended
|Medicare 3 Year Value Payment Demonstration||Dr. Zhou Yang||Not Recommended
|LUGPA APM for Initial Therapy of Newly Diagnosed Organ-Confined Prostate Cancer||LUGPA||Not Recommended
|A Single Bundled Payment for Comprehensive Low-Risk Maternity and Newborn Care Provided by Midwife-Led Practices in Independent Birth Centers that are Clinically Integrated with Physician and Hospital Services||Minnesota Birth Center||Not Recommended
|Annual Wellness Visit Reimbursement for Rural Health Clinics||Mercy Accountable Care Organization||Not Recommended
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.
PTAC is next scheduled to meet March 26-28, 2018.
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, email@example.com.