PTAC Update: Revised Proposal Open for Comment and Secretary’s Responses to Recommendations

Revised “Medical Neighborhood” Payment Model Open for Comment Through March 20

The Physician Model Technical Advisory Committee (PTAC) is soliciting comments through March 20, 2020, on a revised payment model: “The ‘Medical Neighborhood’ Advanced Alternative Payment Model (AAPM),” proposed by the American College of Physicians and the National Committee for Quality Assurance.

This proposed payment model focuses on integrating quality measures between primary care and specialty physicians. The proposal cites that the lack of care coordination between primary care and specialties that can result in medical errors, wasteful spending and poor clinical outcomes. This model proposes to leverage certified electronic health record technology to advance care and collect data to incentivize performance improvement while limiting additional reporting burdens on care providers.

Comments must be submitted by March 20 and sent to: All comments will be made public and posted on the PTAC website.

The Secretary of Health and Human Services (HHS) has sent PTAC responses to three proposed payment models:

  • CMS Support of Wound Care in Private Outpatient Therapy Clinics: Measuring Effectiveness of Physical or Occupational Therapy Intervention as the Primary Means of Managing Wounds in Medicare Recipients
  • Bundled Payment for All Inclusive Outpatient Wound Care Services in Non Hospital Based Setting
  • CAPABLE Provider Focused Payment Model

Similar to responses to previous PTAC recommendations, the Secretary is not recommending implementation of any of the models. In the case of the CAPABLE model, the Secretary indicated that they may explore how concepts from the model can be incorporated into current models.

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 statute requires the Secretary to review PTAC’s comments and recommendations on proposals and to post a detailed response to those comments on the Centers for Medicare and Medicaid Services website. However, there is not a required timeline for the Secretary’s response to PTAC’s comments.

The McDermottPlus PTAC Proposal Tracker is available here and 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