A Quick Overview of Value-Based Care and Payment Models in Cancer Care

Posted by Cam McClellan Teems

May 9, 2017 at 3:24 PM

MACRA. MIPS. APMS. Value-based care. All of these topics can certainly be confusing. Still, CEOs and physicians face largely the same problem: balancing the requirements for so many different fee structures. Fee-for-service and alternative payment models (APMs) will exist simultaneously for quite some time under MACRA. And then there are the merit-based incentive payment systems (MIPS).

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Topics: Cancer Management, Navigation & Care Coordination, Payment Models, Value-Based Care, MACRA

The Oncology Care Model: Why Care Coordination is Essential

Posted by Cam McClellan Teems

March 18, 2016 at 12:17 PM

As part of the government's desire to bring down the cost of cancer care, CMS announced the launch of the Oncology Care Model, which aims to help cancer doctors reduce hospital and pharmacy costs. Applications were accepted and in 2015 finalists were chosen for the first round of participation.  Starting in 2016, the OCM payment model is beginning to pay qualifying oncologists $160 per month for each beneficiary receiving chemotherapy. But oncology clinics and hospitals that receive this risk-based payment are required to make certain changes to the way they meet patient needs. The changes – which are HUGE – include:

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Topics: EHRs, oncology, Navigation & Care Coordination, Payment Models

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