CMS Makes COVID-Wrought Changes to Oncology Care Model

As the COVID-19 pandemic continues to spur huge changes throughout the health care system, CMS’s current and future alternative payment models have not been immune. In early June, the Center for Medicare & Medicaid Innovation (CMMI) unveiled changes to the programs, including to the Oncology Care Model (OCM).

The changes that CMMI has implemented so far are the following:

The model has been extended for one year through June 2022.

OCM practices can forgo upside and downside risk for the performance periods impacted by the public health emergency.

OCM practices that remain on one- or two-sided risk can remove COVID-19 episodes from reconciliation for performance periods impacted by the public health emergency.

Both aggregate-level reporting of quality measures and beneficiary-level reporting of clinical and staging data are optional.

Cost and resource utilization reporting and practice transformation plan reporting in July/August are no longer required.

Angela Maas

Angela Maas

Angela has an extensive background of editing, reporting and writing for trade and consumer publications. She has written Radar on Specialty Pharmacy (formerly called Specialty Pharmacy News) since she joined AIS Health in 2005 and has broad knowledge of the various issues at play within the space. Before joining AIS Health, she was managing editor at Employee Benefit News and Employee Benefit News Canada and managing editor at HemAware (a hemophilia publication), Lupus Living and Momentum (a multiple sclerosis publication). She has a B.A. in English and an M.A. in British literature from Arizona State University.

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