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Category: Chronic Disease

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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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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