December 16, 2016

ACR Supports More Expert Input for PFPM Designs

The American College of Radiology has asked the Physician-Focused Payment Model Technical Advisory Committee (PTAC) for expanded opportunities for physicians, including radiologists, to aid the design of Physician Focused Payment Models implemented under the Medicare Access and Chip Reauthorization Act (MACRA).

The College’s recommendations were included in comments submitted to PTAC Dec. 9 on its process for reviewing and evaluating proposed physician-focused payment models (PFPMs). The PTAC began accepting letters of intent and submissions of proposed payment models from stakeholders on Dec. 1.

In its comments, the ACR saw potential problems in having only one physician represented on its three-person review panel and its reliance on current contractual arrangements for clinical experts to address technical questions relevant to PFPM design. To increase its access to physician expertise, the ACR recommended that the PTAC request submission of a list of clinical experts either with the PFPM letter of intent or with the PFPM completed application, whichever is optimal for PTAC operations.

The PTAC was mandated to be developed per the MACRA legislation as an independent committee that reviews proposals for new PFPMs or those that might be considered advanced alternative payment models and make recommendations to the Centers for Medicare and Medicaid Services (CMS) for testing and possible implementation. As the PTAC gains more experience in this area, they plan to further refine their process. The ACR will continue to monitor this new initiative and determine how radiology can participate in the future.