Aug 2 2021
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The Radiation Oncology Model: Top Five Things to Know

Blog, Bundled Payments, Cancer

The Centers for Medicare & Medicaid Services plans to roll out the Radiation Oncology Model (ROM) in January 2022, which will cover radiotherapy episodes of care. Participation is mandatory in select zip codes—you can access the current list here—and will cover physician group practices, hospital outpatient departments, and freestanding radiation therapy centers. To help providers […]

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Sep 29 2020
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RO-APM: What Providers Need to Know

Blog, Bundled Payments, Cancer

CMS recently announced the Radiation Oncology Model (RO Model or RO-APM), a mandatory, episode-based payment model for radiotherapy (RT) services. CMS states that the goals of the model are to “improve the quality of care for cancer patients receiving radiotherapy…and move toward a simplified and predictable payment system.” The new radiation oncology alternative payment model […]

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Oct 30 2019
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What is BPCI?

Blog, Bundled Payments

Bundled Payments for Care Improvement (BPCI) was an initiative created by the Center for Medicare and Medicaid Innovation (CMMI) to test the efficacy of several different episode-based payment models in producing higher quality, moore coordinated health care at a lower cost to Medicare. BPCI was launched in 2013 concluded in 2018. The BPCI Advanced Model […]

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Oct 21 2019
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What is OCM 2.0?

Blog, Bundled Payments, Cancer, Chronic Disease

OCM 2.0 is a proposed alternative to the current Oncology Care Model (OCM) program, and was created by the Community Oncology Alliance (COA) in June 2019. COA submitted OCM 2.0 to the Physician-Focused Payment Model Technical Advisory Committee (PTAC), an advisory committee that evaluates physician-focused payment models for the Secretary of Health and Human Services […]

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Oct 18 2019
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OCM Quality Measures

Blog, Bundled Payments, Cancer, Chronic Disease

The Oncology Care Model (OCM) is an episode-based payment model designed to provide high quality, highly coordinated oncology care at low cost. In order to assess and verify clinical outcomes, patient outcomes, and coordination of care, as well as ensure continued quality of care, CMS measures OCM participants’ performance using quality measures from four of […]

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Oct 16 2019
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What is a MEOS Payment?

Blog, Bundled Payments, Cancer, Chronic Disease

A Monthly Enhanced Oncology Services (MEOS) payment is part of the two-part payment system specific to the Oncology Care Model (OCM). Under OCM, participating Medicare-enrolled physician groups continue to receive regular fee-for-service (FFS) Medicare payments, but also receive a MEOS payment of $160 per-beneficiary for delivery of “enhanced services,” as well as a retrospective performance-based […]

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Oct 14 2019
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The Oncology Care Model: An Overview

Blog, Bundled Payments, Cancer, Chronic Disease

The Oncology Care Model (OCM) is an episode-based payment model developed by the Centers for Medicare & Medicaid Services Innovation Center (CMMI) in order to improve the quality of care cancer patients receive at the same or lower cost. According to the National Cancer Institute, “In 2018, an estimated 1,735,350 new cases of cancer [were] […]

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Nov 9 2018
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HHS Confirms Launch of New Mandatory Bundled Payment Models

Blog, Bundled Payments, Cancer

In remarks to the Patient-Centered Primary Care Collaborative, HHS Secretary Alex Azar confirmed that new mandatory bundled payment models are coming. During his tenure as Secretary of HHS, Azar has consistently signaled that new, required episode-based payment models are coming, and elaborated on those plans in yesterday’s remarks, saying, “We need results, American patients need change, and […]

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Oct 17 2018
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Mandatory Bundled Payments on the Horizon

Blog, Bundled Payments, Cancer, Chronic Disease

Requiring APMs Necessary to Test Efficacy and Spur Reform, Azar Says There are continuing indications that mandatory alternative payment models (APMS), including mandatory bundled payments, are coming. During remarks to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) on September 6, 2018, Alex Azar, secretary for the Department of Health and Human Services (HHS), stated, […]

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