Physician-Focused Payment Model Technical Advisory Committee (PTAC)


Thank you for visiting the webpage for the Physician-Focused Payment Model Technical Advisory Committee (PTAC). Here you will find information on the background of the Committee and its members, information on how to submit a proposal to PTAC, how PTAC will review and evaluate proposals, and information for upcoming and past public meetings.

PTAC was created by The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) which was enacted, in part, to improve how the federal Medicare program pays physicians for the care they provide to Medicare beneficiaries. MACRA authorized the creation of Medicare’s Merit-based Incentive Payment System (MIPS) and additional Medicare Alternative Payment Models (APMs). MACRA also created incentives for physicians to participate in APMs, and it specifically encouraged the development of certain types of APMs referred to as physician-focused payment models (PFPMs).

To encourage stakeholders to engage in the development of PFPMs, Congress also enacted section 101(e)(1) of MACRA, which created PTAC. The statutory mission of PTAC is to make comments and recommendations to the Secretary of the Department of Health and Human Services (the Secretary, HHS) on proposals for PFPMs submitted to PTAC by individuals and stakeholder entities. The Secretary is required by MACRA to review PTAC’s comments and recommendations on submitted proposals and post a detailed response on the Centers for Medicare & Medicaid Services (CMS) website.

PTAC Vision Statement

In June 2020, PTAC released the following statement to communicate how the Committee’s work fits into the transition to value-based care.

PTAC was created to contribute to a national priority to improve the efficiency and effectiveness of the U.S. health care delivery system. We believe that proposed solutions from frontline stakeholders in our delivery system can substantially enhance quality, improve affordability and influence policy development and system transformation.

PTAC provides a forum where those in the field may directly convey both their ideas and their concerns on how to deliver high value care for Medicare beneficiaries and others seeking health care services in our nation. PTAC is committed to ensuring our stakeholders have access to independent, expert input and that their perspectives and innovations reach the Secretary of Health and Human Services.

PTAC will continue to submit comments and recommendations regarding physician-focused payment models submitted by stakeholders to the Secretary, as required by statute. In addition, we will expand our communications with the Centers for Medicare & Medicaid Services (CMS) and stakeholders to identify opportunities to further inform and prioritize the work CMS, including the Center for Medicare & Medicaid Innovation (CMMI), and other policy makers are undertaking to modernize health care.

PTAC Membership

The composition of PTAC is prescribed by MACRA. PTAC’s 11 members are individuals with national recognition for their expertise in PFPMs and related delivery of care. Committee members are appointed by the Comptroller General of the United States and will generally serve three-year terms. PTAC’s members include both physicians and non-physicians. A list of current PTAC members and their areas of expertise can be found here.

Committee Staff

As directed by MACRA, HHS’s Office of the Assistant Secretary for Planning and Evaluation (ASPE) provides operational and technical support to PTAC, and the Office of the Actuary provides actuarial assistance as needed.

PTAC Charter

Review the PTAC Charter.

PTAC Bylaws

Review the PTAC Bylaws.

For further information, please contact

Last updated June 22, 2020.