September 19, 2019

PTAC Recommends Rural Cerebral Emergencies Payment Model to CMS

Representatives of the American College of Radiology’s economics and health care policy staff attended the September 16 public meeting of the Physician-Focused Payment Model Technical Advisory Committee (PTAC) at office of the Department of Health and Human Services in Washington, DC.

During the one-day meeting, the committee deliberated and voted on a proposal, submitted by the University of New Mexico Health Sciences Center, for a physician-focused payment model titled, ACCESS Telemedicine: An Alternative Healthcare Delivery Model for Rural Cerebral Emergencies.

The ACCESS Telemedicine alternative payment model addresses the unmet need for emergent cerebral care in rural/underserved areas by supporting the use of telemedicine to extend access to neurological and neurosurgical experts to rural and small town hospitals. It also aims at decreasing unnecessary patient transports and referrals. The goal is to improve quality, outcomes and reduce costs for emergent cerebral cases.

The PTAC voted to recommend this model to the Centers for Medicare and Medicaid Services (CMS) “for further development and implementation as a payment model” as specified in PTAC comments. CMS will consider the recommendation and report its decision to the general public in the near future. The next PTAC meeting is planned for December.