PTAC Submits Recommendations on Three Models to the Secretary and Posts ESRD-related Proposal for Comment

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) submitted comments and recommendations to the Secretary of the Department of Health and Human Services on three proposals for physician-focused payment models that were deliberated and voted on at its April 2017 public meeting.



The reports to the Secretary reflect the voting at the April meeting, the rationale for each recommendation, and additional comments regarding the proposed model.

Incident to ESRD Clinical Episode Payment Model Proposal Open for Comments

PTAC is also soliciting comments until June 26, 2017 on an Incident to ESRD Clinical Episode Payment Model proposal submitted by the Renal Physicians Association (RPA). RPA proposes a condition specific, episode-of-care payment model that would span the first six months of dialysis therapy for established Medicare beneficiaries.


The letter of intent (LOI) is available here.


The proposal is available here.


Comments should be submitted by June 26, 2017, to:


LOI for Annual Wellness Visit Reimbursement Model for Rural health Clinics

Additionally, PTAC also posted an LOI from Mercy Accountable Care Organization in Des Moines Iowa for an Annual Wellness Visit Reimbursement Model for rural health clinics.


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