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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Mar 31 2021
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COVID-19’s Impact on Cancer Care—Increased Complexity and Increased Demand for Care Guidance

Blog, Cancer, COVID-19, Guideway Care

As an industry, we agree that COVID-19 has made an indelible impact on how we practice healthcare in the United States. The virus’s influence is apparent in those industry segments that treat the most complex and vulnerable patient populations, with cancer serving as a palpable embodiment of COVID-19’s effects. Three significant trends in cancer care […]

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Oct 26 2020
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Delayed Cancer Screenings Lead to Dramatic Decrease in Newly Diagnosed Patients

Blog, Cancer, COVID-19

LexisNexis Highlights How Stay at Home Orders Have Impacted Preventive Screenings, Diagnoses Information and analytics provider LexisNexis recently reported that stay-at-home orders have led to alarming trends in preventive screenings for cancer, with reductions of up to 91% in April and May 2020, when compared to the same time period in 2019. The decrease in […]

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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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Jan 24 2020
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ePROs: What are Electronic Patient Reported Outcomes?

Blog, Cancer, Clinical Teams, Patient Experience, Technology

The term patient-reported outcomes (PROs) refers to a health outcome directly based on patient self-reporting. PROs are a key aspect of clinical trials and treatments, and in modern health care settings, many organizations are transitioning away from pen-and-paper data collection methods and moving to electronic patient-reported outcomes (ePROs). Analog vs. Digital Research has shown there […]

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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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