PTAC Submits Recommendations on Four Models to the HHS Secretary

May 16, 2018


The Physician-Focused Payment Model Technical Advisory Committee (PTAC) submitted three reports containing recommendations on four models. These payment models were deliberated and voted on at PTAC’s March 2018 public meeting:

Patient and Caregiver Support for Serious Illness (PACSSI)

  • American Academy of Hospice and Palliative Medicine (AAHPM)
  • Recommendation: Limited-scale testing
  • Report is available here.

Advanced Care Model (ACM) Service Delivery and Advanced Alternative Payment Model

  • Coalition to Transform Advanced Care (C-TAC)
  • Recommendation: Limited-scale testing
  • Report is available here.

Home Hospitalization: An Alternative Payment Model for Delivering Acute Care in the Home (HH-APM)

  • Personalized Recovery Care, LLC (PRC)
  • Recommendation: Implementation
  • Report is available here.

Intensive Care Management in Skilled Nursing Facility Alternative Payment Model (ICM SNF APM)

  • Avera Health
  • Recommendation: Implementation
  • Report is available here.

Consistent with the PTAC process, the Centers for Medicare and Medicaid Services (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.

PTAC is next scheduled to meet June 14-15, 2018.

On May 15, PTAC chair Jeff Bailet and vice chair Elizabeth Mitchell met with CMS Administrator Seema Verma, the Centers for Medicare and Medicaid Innovation (Innovation Center) director Adam Boehler, and U.S. Department of Health and Human Services (HHS) Deputy Secretary Eric Hargan.  According to press reports, the discussions focused around continuing efforts to develop models to improve care.

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 on the Quality Payment Program visit the McDermottPlus MACRA Resource Center or contact Sheila Madhani at 202-204-1459 or

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