HHS selects 196 physician groups for cancer care initiative

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HHS has selected 196 physician group practices and 17 health insurance companies to participate in the Oncology Care Model — a value-based care delivery model that seeks to provide more coordinated cancer care at a lower cost to Medicare.

Under the Oncology Care Model, CMS will use a number of quality measures to track the care each physician practice provides to Medicare beneficiaries who undergo chemotherapy. 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 potential for a performance-based payment will incentivize participating practices to improve care for beneficiaries and lower the total cost of care over the six-month episode period," according to CMS.

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.

The Oncology Care Model begins July 1 and runs through June 30, 2021.

A list of the practices selected for the program can be accessed here.

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