CMS Seeks Participants for New Oncology Care Model
The Centers for Medicare & Medicaid Services (CMS) is looking to improve the effectiveness and efficiency of oncology care with a new episode-based payment model called the Oncology Care Model (OCM). CMS is encouraging eligible payers and practices to apply.
The OCM is a five-year model, scheduled to begin next year. Payers and practices interested in participating must send a letter of intent. The deadline for payers to submit a letter of intent is March 19; practices have until April 23. Applications are due by 5 PM (EST) on June 18.
Eligible practices must be able to:
- Provide core functions of patient navigation;
- Document a compliant care plan;
- Provide 24/7 patient access to a clinician who has real-time access to the practice’s medical records;
- Treat patients with therapies consistent with recognized clinical guidelines;
- Use data to drive continuous quality improvement; and
- Use a certified electronic health record and attest to stage 2 of meaningful use by the end of the third model performance year.
The OCM is a multi-payer model that includes Medicare fee-for-service, and will use a two-part payment approach:
- A monthly $160 per beneficiary care management payment, and
- A performance-based payment, calculated retrospectively following completion of a six-month episode.
Additional information about the OCM, including how to apply, is available on the CMS Innovation website. And CMS is presenting a webinar on the OCM February 19 from 12 PM – 1 PM (EST).