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Category: Bundled Payments

What is BPCI?

What is BPCI?

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 is a new iteration of the program and a continuation...

BPCI, BPCI Advanced, Bundled Payments, Episode-Based Payment Models

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OCM 2.0

What is OCM 2.0?

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 (HHS). Challenges of the...

APMs, Bundled Payments, Episode-Based Payment Models, OCM, Oncology, Oncology Care Model

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OCM Quality Measures

OCM Quality Measures

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 the National Quality Strategy Domains,...

Bundled Payments, Episode-Based Payment Models, OCM, Oncology, Oncology Care Model, Quality of Care

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What is a MEOS Payment? | What is a Monthly Enhanced Oncology Services Payment?

What is a MEOS Payment?

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...

APMs, Bundled Payments, Episode-Based Payment Models, Oncology, Oncology Care Model

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The Oncology Care Model: An Overview

The Oncology Care Model: An Overview

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] diagnosed in the United States and 609,640 people will...

APMs, Bundled Payments, Episode-Based Payment Models, OCM, Oncology, Oncology Care Model

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HHS Confirms Launch of New Mandatory Bundled Payment Models

HHS Confirms Launch of New Mandatory Bundled Payment Models

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,...

Alternative Payment Models, BPCI, BPCI Advanced, Bundled Payments, Cancer, Cancer Navigation, CJR Model, OCM, Oncology, Oncology Care Model

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Mandatory Bundled Payments on the Horizon

Mandatory Bundled Payments on the Horizon

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,...

Alternative Payment Models, BPCI, BPCI Advanced, Bundled Payments, Cancer, CJR Model, OCM, Oncology Care Model

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Dr. Edward E. Partridge, Guideway Care CMO, 2018 Healthcare Bundled Payments Conference

Dr. Edward E. Partridge to Speak at 2018 Healthcare Bundled Payments Conference

Dr. Edward E. Partridge, Chief Medical Officer of Guideway Care, is slated to speak at the 2018 Healthcare Bundled Payments Conference. The conference is scheduled for September 13-14, 2018 in Las Vegas, NV. Dr. Partridge will draw on his experience as Medical Director of the UAB Health System Cancer Community Network and Director Emeritus and Distinguished Professor of the UAB Comprehensive Cancer...

Alternative Payment Models, BPCI, BPCI Advanced, Bundled Payments, Care Guidance, Patient Care Connect, Patient Navigation, UAB Medicine

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