01.14.2019

HHS Releases New Guidance on PTAC Proposals and Demonstrations

The U.S. Department of Health and Human Services (HHS) has released a fact sheet related to the Physician-Focused Payment Model Technical Advisory Committee (PTAC). This fact sheet specifically covered “value considerations” for new or alternative payment model development and testing. None of the proposals submitted to PTAC have been implemented yet, but HHS has indicated that new models will be released that incorporate elements of the previous PTAC submissions.

The models that are developed would follow past CMS efforts to redesign how care is delivered and paid for. The Comprehensive Primary Care Plus and various accountable care organization models are examples of what is being created. Models have typically been voluntary, although HHS Secretary Alex Azar has indicated his desire to implement mandatory models.

In the fact sheet, HHS describes its value-based transformation vision and notes that it is currently working on several specific model areas, including a primary care-focused model that is expected to be released in the near future.