What is the Enhancing Oncology Model (EOM)?
The Oncology Care Model (OCM) is dead. The Oncology Care Model was a voluntary, alternative payment model (APM), that “included financial and performance accountability for […]
The Oncology Care Model (OCM) is dead. The Oncology Care Model was a voluntary, alternative payment model (APM), that “included financial and performance accountability for […]
That is the topic of a new paper by Drummond et al. (2022). When medical devices receive regulatory approval, payers can make one of three […]
Alternative payment models (APM) are the new trend of the past few decades. High quality, efficient providers should be paid more; low-quality, less efficient providers […]
An interesting article in Modern Healthcare reviews some discussion at a recent Medicare Payment Advisory Commission (MedPAC) meeting. The first issue is that the pool […]
Performance-based risk sharing (PBRS) have grown in importance in recent years. While most PBRS are used for expensive pharmaceutical products, PBRS also have been used […]
The answer is ‘yes’, but the magnitude of these savings are relatively small and more than offset by additional OCM program costs. Keating et al. […]
In the provider space, alternative payment models are increasingly common. These models aim to pay more money when providers improve quality and lower total cost […]
Created by Section 3021 of the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Innovation (CMMI; aka The CMS Innovation Center) has been […]
The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS is an approach for CMS to pay […]
In 2008, the Centers for Medicare & Medicaid Services (CMS) implemented the Hospital-Acquired Conditions Present on Admission (HAC-POA) program. The goal of this program was […]
For years, Medicare and other payers have used quality measures to evaluate the quality of care patients receive at various types of providers settings (e.g., […]
In 2021, CMS expects to operate 12 alternative payment models (APMs) offering 25 distinct tracks for providers to choose from that involve different payment options […]
Many Medicare payment initiatives aim to link reimbursement to value. Value includes both cost and quality of care. However, measuring quality of care during a […]
Is your hospital high quality? Well, this depends on what quality means. Does it have low readmission rates? Low rates of mortality? Do they follow […]
If you want to implement value-based care, you need to define what a ‘good’ outcome is. A good outcome may be different for different individuals. […]
There are a few sub-questions we need to break down to answer before answering this one larger question. These sub-questions include: Is nursing staff turnover […]
This weekend, my fire alarms kept going off. I called the local fire department who came out and they checked everything out. They arrived quickly, […]
The Oncology Care Model is slated to end soon. Specifically, the last set of six-month episodes would initiate no later than December 31, 2020 and […]
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