Bundled Payments

In today’s day and age, healthcare organizations must approach their care coordination with the utmost scrutiny. Custom communication, efficiency, and productivity are key. For these aims, bundling payments is one way to achieve organizational outcomes. This is especially important with the Centers for Medicare and Medicaid Services (CMS) and  bundled payment initiatives. Furthermore, the Comprehensive […]

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, more coordinated health care at a lower cost to Medicare. BPCI was launched in 2013 concluded in 2018. The BPCI Advanced Model […]

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 […]

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 […]

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 […]

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] […]

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 […]

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, […]

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 […]

BIRMINGHAM, Ala., Apr 24, 2018: Guideway Care today announced a new care guidance partnership with UAB Medicine for chronic obstructive pulmonary disease (COPD) patients. The partnership aims to improve patient health by providing additional, non-clinical support beyond the hospital stay. Patients in the program receive support and instruction from trained lay navigators, or care guides, […]