November 30, 2017
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) released preliminary review team reports on seven proposals. PTAC assigns a preliminary review committee to each proposal. This team of reviewers assesses each proposal based on the ten criteria included in the Medicare Access and CHIP Reauthorization Act (MACRA). These seven proposals and the accompanying reports will be discussed and open for public comment at the next PTAC public meeting scheduled for December 18-20, 2017. This will be followed by a vote by PTAC.
PTAC will submit their final recommendations to 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. Models approved by CMS will be implemented by the Innovation Center.
Proposals Scheduled to be Reviewed at December 2017 Meeting
Incident ESRD Clinical Episode Payment Model
Renal Physicians Association
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
Medicare 3 Year Value Payment Demonstration
Dr. Zhou Yang
Advanced Primary Care Alternative Payment Model (APC–APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care
American Academy of Family Physicians
LUGPA APM for Initial Therapy of Newly Diagnosed Organ-Confirmed Prostate Cancer
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
Annual Wellness Visit Reimbursement for Rural Health Clinics
Mercy Accountable Care Organization
Agenda and registration information for the PTAC public meeting is available here.
Established by 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.
McDermottPlus PTAC Proposal Tracker is available here.
McDermottPlus presentation on the PTAC proposal process is available here.