March 10, 2022

Federal Advisory Committee Discusses Total Cost of Care Medicare Payment Model at March Meeting

The Physician Focused Payment Model Technical Advisory Committee (PTAC) held its quarterly public meeting March 7–8, where total cost of care (TCOC) models were discussed. Population-based TCOC models are a type of alternative payment model where payment is determined by a composite measure made up of costs and utilization for all covered medical services delivered to an individual or group.

Sessions during the meeting covered key characteristics of TCOC models, best practices for improving beneficiary affordability, the role of specialty care models for patients with chronic diseases, and case studies of states that have successfully implemented care models.

PTAC members gave their perspectives on how these models can play a role in optimizing healthcare delivery and how to prepare for the transition from fee-for-service care to TCOC models.

PTAC is an independent federal advisory committee that makes recommendations to the secretary of the U.S. Department of Health and Human Services on stakeholder-submitted physician-focused Medicare payment models and related topics.

For more information or if you have questions, contact Kimberly Greck, American College of Radiology® (ACR®) Economic Policy Analyst, or Christina Berry, ACR Team Lead Economic Policy.