publication date: Feb. 13, 2015

CMS Announces New Model For Payment & Care Delivery


The Centers for Medicare and Medicaid Services announced the “Oncology Care Model,” a multi-payer payment and care delivery model to support care coordination of cancer care.

The initiative will be focused on three areas:

• Linking payment to quality of care,

• Improving and innovating in care delivery, and

• Sharing information more broadly to providers, consumers, and others to support better decisions.

According to HHS, the Oncology Care Model relies on episode-based, performance-based payments that financially incentivize high-quality, coordinated care. Participating practices will also receive monthly care management payments for each Medicare fee-for-service beneficiary during an episode to support oncology practice transformation, including the provision of comprehensive, coordinated patient care.

“Based on feedback from the medical, consumer and business communities, we are launching this new model of care to support clinicians’ work with their patients,” said Patrick Conway, CMS chief medical officer and deputy administrator for innovation and quality. “We aim to provide Medicare beneficiaries struggling with cancer with high-quality care around the clock and to reward doctors for the value, not volume, of care they provide. Improving the way we pay providers and deliver care to patients will result in healthier people.”

The Oncology Care Model is a part of the HHS “better care, smarter spending, healthier people” approach to payment and care delivery models developed by the CMS  Innovation Center and advanced by the Affordable Care Act.

“While CMS is to be commended for seeking new approaches to payment, we are disappointed they have chosen to pursue only … Continue reading 41-06 CMS Announces New Model For Payment & Care Delivery

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