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PTAC Update: Preliminary Review Team Reports Released for Dec. 10 Public Meeting

November 20, 2018

McDermott+Consulting

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) released Preliminary Review Team (PRT) reports for two physician-focused payment model (PFPM) proposals that are on the agenda for the public meeting scheduled for December 10, 2018.

PTAC assigns a preliminary review committee to each proposal. These proposals and the accompanying reports will be discussed and open for public comment at the meeting. This will be followed by a PTAC vote.

PTAC will submit its final recommendations to the Centers for Medicare and Medicaid Services (CMS), who is responsible for making the final decision on which models to implement. A detailed response to the PTAC recommendations will be posted on the CMS website.

When the Medicare Access and CHIP Reauthorization Act of 2015 originally established PTAC the expectation had been that CMS would select and implement promising PTAC models. As previously reported by McDermottPlus, in the recently released 2019 Medicare Physician Fee Schedule, the agency stated that it “seems unlikely that all of the features of any PTAC-reviewed proposed model will be tested exactly as presented in the proposal, certain features of proposed models may be incorporated into new or existing models.” CMS also indicates that it will continue to work with stakeholders to design and implement new APMs. These comments have made PTAC’s future role uncertain.

Registration Now Open for the December 10 PTAC Public Meeting

The agenda and registration information for the December 10, 2018, PTAC public meeting is available here.

New Proposal Open for Comment

PTAC is soliciting comments until December 12, 2018 on a new physician-focused payment model:

Comments should be submitted by December 12, 2018, to PTAC@HHS.gov.

More information on PTAC is available on their website.

 


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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