PTAC proposes 22 recommendations to guide value-based payment models

Physician-Focused Payment Model Technical Advisory Committee (PTAC) · September 14, 2026

Summary

PTAC's draft white paper consolidates a decade of public input and lays out 22 recommendations across nine topic areas — including total cost of care, payment approaches, measurement, rural participation, technology, and patient safety — that PTAC plans to finalize and send to the Secretary of HHS.

PTAC presented a draft white paper, "Transforming Health Care Delivery Through Value-Based Payment Models and Care: A Roadmap," that summarizes 10 years of evidence and proposes 22 recommendations across nine topic domains to advance alternative payment models and total cost of care approaches.

The committee said the recommendations span core principles (a shared vision of high-value patient-centered care), payment approaches to maximize participation, performance measurement, enablers and flexibilities, rural strategies, technology and AI, and patient safety. "PTAC presents 22 recommendations across nine discrete topic areas," the presenter stated, and PTAC will base its final white paper on materials discussed at the public meetings.

PTAC noted it was created by the Medicare Access and CHIP Reauthorization Act of 2015 and emphasized that recommendations must reflect topics discussed in open public meetings; the committee also described posting all proposals, supplemental analyses, expert presentations, and transcripts on the PTAC website for transparency.

The committee plans to solicit expert input during the meeting panels, incorporate feedback, and post a final white paper and report to the Secretary of HHS later this year.

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