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.

Certified Hematology and Oncology Coder CHONC

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:

  1. A monthly $160 per beneficiary care management payment, and
  2. 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).

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Renee Dustman

Renee Dustman

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.
Renee Dustman

About Has 423 Posts

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.

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