PTAC Update: Declines to Recommend Wound Care Models and Solicits Comments on a New Telemedicine Proposal

The Physician-Focused Technical Advisory Committee (PTAC) met on March 11, 2019, in Washington, DC, to review two proposed payment models related to wound care services. PTAC did not recommend either model.

CMS Support of Wound Care in Private Outpatient Therapy Clinics: Measuring the Effectiveness of Physical or Occupational Therapy Intervention as the Primary Means of Managing Wounds in Medicare Recipients

Submitted by Upstream Rehabilitation

Bundled Payment for All Inclusive Outpatient Wound Care Services in Non Hospital Based Setting

Submitted by Seha Medical and Wound Care

The committee agreed that while the proposals did not meet the criteria to recommend as a payment model to the Secretary, wound care services were critical services for Medicare beneficiaries and that there were issues with payment for these services under the Medicare physician fee schedule. PTAC felt that a clear understanding of the process of care for wound services was lacking from both models.  As a next step, PTAC urged submitters of both models to work with other stakeholders to develop a care model that described best practice for wound care services.

Adam Boehler, Senior Advisor to the Secretary and Deputy Administrator and Director of the Center for Medicare and Medicaid Innovation, made brief remarks at the meeting. He indicated that the Centers for Medicare and Medicaid Services (CMS) is eager to continue working with PTAC and that CMS is looking for simple, transparent, multi-payor models that hold providers accountable. He told the audience that CMS is expected to release shortly payment models in the area of primary care, hospital-based care delivered at home, patient-centered kidney care services and fully accountable models similar to what is found in Medicare Advantage.

Finally, PTAC is soliciting comments on a new telemedicine proposal:

ACCESS Telemedicine: An Alternative Healthcare Delivery Model for Rural Cerebral Emergencies

Submitted by the University of New Mexico Health Sciences Center

Comments should be submitted by March 22, 2019, to


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.


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at 202-204-1459/