tci Medicare Compliance & Reimbursement - 2016 Issue 14

Reimbursement: How The New Oncology Care Model Will Test Major Medicare Pay Changes

Will the OCM overwhelm practices already overburdened by too many APMs? The much-anticipated Oncology Care Model (OCM) is off and running, with nearly 200 physician practices jumping on board. And the OCM’s goals and promised incentives look enticing for providers. On June 29, the U.S. Department of Health and Human Services (HHS) announced it selected 196 physician group practices and 17 health insurance companies to participate in the new OCM. The Medicare part of the OCM includes more than 3,200 oncologists and will cover 155,000 beneficiaries across the United States. This is double what the...

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