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HHS picks 196 physician groups, 17 health insurers in coordinated cancer-care project

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The U.S. Department of Health and Human Services has selected 196 physician group practices and 17 health-insurance companies to take part in a value-based delivery model that seeks to provide more coordinated cancer care at a lower cost to Medicare.

Under what has been named the Oncology Care Model, CMS will use certain quality measures to track the care that each physician practice provides to Medicare beneficiaries undergoing chemotherapy.

Becker’s Hospital Review reports that practices “will receive performance-based payments for each six-month episode of care based on quality scores and whether they saved money over the episode, compared to historical fee-for-service payments.”

The news service added: “Practices will also receive a $160 monthly care management payment for each beneficiary. Participants will be enrolled in a one-sided risk model for the first two years of the Oncology Care Model and dive into two-sided contracts beginning in 2018.”

To read the Becker’s article on this, please hit this link

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