- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
CMS Working on a New Oncology Payment Model
CMS provided COA a draft of an episode-based payment model being developed at their Innovation Center. COA has been in collaboration with CMS on developing this model.
CMS sent the following email to COA President Dr. Bruce Gould, Immediate Past President Dr. Mark Thompson, and other stakeholders who participated in providing input on oncology payment reform.
Thank you for your engagement in the ongoing development of Center for Medicare and Medicaid Innovation (Innovation Center) payment and service delivery models. As we previously announced, the Innovation Center is interested in developing specialty practitioner-focused payment and delivery models that would be designed to improve the effectiveness and efficiency of specialty care. Among the specialty practitioner-focused models under development, the Innovation Center is developing an oncology care, episode-based model.
We understand that there is a high level of interest in an oncology model, and appreciate the significant input that we received from the oncology community to guide our development of the model’s framework. The Innovation Center has not finalized an oncology model or any of particular aspects of the model. However, given the level of interest in an oncology model test, we wanted to share the provisional design elements of the model. The attached design paper provides an explanation of target oncology patients and providers, as well as the anticipated structure of the payments. If CMS decides to move forward with an oncology model, the Innovation Center will publish the final model with additional detail regarding participation in the model, and will post a Request for Applications on the Innovation Center website.Link to the press release: http://bit.ly/1oK97gQSource: Community Oncology Alliance
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
Listen
Texas Oncology to Roll Out Canopy for ePROs After Head-to-Head Pilot
March 18th 2025Debra Patt, MD, PhD, MBA, executive vice president of Public Policy and Strategy for Texas Oncology, said the practice received positive feedback from nurses and patients during a pilot that concluded in February.
Read More
Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
Listen
