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Tag: Oncology Care Model

The Radiation Oncology Model: What Providers Need to Know

RO-APM: What Providers Need to Know

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 (APM) is projected...

Cancer, Oncology, Oncology Care First, Oncology Care Model, Radiation Oncology Model

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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

Guideway Care Welcomes Chief Medical Officer, Edward E. Partridge, M.D.

Birmingham, AL, October 3, 2017: Edward E. Partridge, M.D., has been named chief medical officer of Birmingham, Alabama-based Guideway Care, according to an announcement by Craig Parker, the company’s president and CEO. Dr. Partridge, recognized as one of the country’s leading gynecologic-oncologists, is highly regarded for his work to improve access to quality health care for underserved populations...

Cancer, Cancer Navigation, Care Coordination, Care Guidance, Health Disparities, OCM, Oncology Care Model, Patient Navigation, UAB Medicine

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Guideway Care

Guideway Care Helps OCM Participants Exceed Navigation Requirements With a Superior Patient Experience

Guideway Care is presenting at a regional Oncology Care Model (OCM) and Healthcare Reform Summit Meeting on July 12, 2017 at UAB Comprehensive Cancer Center’s Wallace Tumor Institute building. The purpose of this event is to better prepare participants for OCM, MACRA, OPPS, and the value-based care delivery programs of the future. The introduction of CMS’ Oncology Care Model is recognition of the...

Cancer Navigation, Care Coordination, Care Guidance, OCM, Oncology Care Model, Patient Navigation

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UAB Medicine, Cancer Navigation Program, COPD Care Guidance

UAB Expands Cancer Navigation Program Nationally With Guideway Care

Read this story online and see photo at www.uab.edu/news . The UAB News Studio is available for live or taped interviews with UAB experts.   BIRMINGHAM, Ala. – Every diagnosis of cancer comes with fear, anxiety, even confusion. Patients are faced with crucial decisions and have an urgent need for information they can trust. Most of all, patients need someone to help guide them through the complex...

Cancer, Cancer Navigation, Care Guidance, OCM, Oncology, Oncology Care Model, Patient Care Connect, Patient Navigation, Readmissions, UAB Medicine

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