Oncology Care Model

American Oncology Network Expands Participation in Oncology Care Model

Retrieved on: 
Monday, November 25, 2019
Healthcare in the United States, Health in the United States, Health insurance in the United States, Healthcare reform in the United States, Managed care, Oncology Care Model, Patient Protection and Affordable Care Act, Oncology, Texas Oncology, Community Oncology Alliance

Fort Myers, Fla., Nov. 25, 2019 (GLOBE NEWSWIRE) -- Since its inception in 2017, the American Oncology Network, LLC (AON) has participated in the Oncology Care Model (OCM) , a national innovative payment program of the Center for Medicare & Medicaid Innovation (CMMI) .

Key Points: 
  • Fort Myers, Fla., Nov. 25, 2019 (GLOBE NEWSWIRE) -- Since its inception in 2017, the American Oncology Network, LLC (AON) has participated in the Oncology Care Model (OCM) , a national innovative payment program of the Center for Medicare & Medicaid Innovation (CMMI) .
  • AON CEO Brad Prechtl, MBA said, AONs affiliated practices are community oncology practices that provide extremely high-quality care.
  • Being part of the American Oncology Network allows these practices to provide enhanced services to their patients, such as an in-house specialty pharmacy, world-class pathology lab and national clinical research, as well as the ability to participate in the Oncology Care Model, which, in turn, provides added benefits to patients in their local community.
  • American Oncology Network, LLC(AON) is an alliance of physicians and seasoned healthcare leaders partnering to ensure the long-term success of community oncology.

OneOncology Study Reveals Important Insights for Value-Based Care

Retrieved on: 
Monday, November 4, 2019
Healthcare reform in the United States, Managed care, Health Economics, Health informatics, Healthcare quality, Oncology Care Model

OneOncology's physician leadership is actively engaged to help the CMS and commercial payers structure the most appropriate value-based arrangements for patients and practices.

Key Points: 
  • OneOncology's physician leadership is actively engaged to help the CMS and commercial payers structure the most appropriate value-based arrangements for patients and practices.
  • For practices to succeed and not get left behind, they'll need to lead through implementation, research and education."
  • The study showed that in over half of the 118 lung cancer episodes with expenditures above the OCM baseline target there were no emergency department visits, hospitalizations, and post-acute care stays.
  • OneOncology is comprised of four large community oncology practices representing over 250 physicians practicing at more than 130 sites of care across the United States.

Care Collaboration Platform Helps its National Community of ACO Providers Generate Over $430 Million in Shared Savings

Retrieved on: 
Thursday, October 31, 2019
Healthcare in the United States, Managed care, Health, Accountable care organization, MSSP, Medicare Shared Savings Program, United States National Health Care Act, Oncology Care Model, Pay for performance

BOSTON, Oct. 31, 2019 /PRNewswire/ --PatientPing, the nation's leading care collaboration platform, would like to congratulate its national network of Accountable Care Organizations (ACOs) for generating more than $430 million in shared savings in 2018 under the Medicare Shared Savings Program (MSSP).

Key Points: 
  • BOSTON, Oct. 31, 2019 /PRNewswire/ --PatientPing, the nation's leading care collaboration platform, would like to congratulate its national network of Accountable Care Organizations (ACOs) for generating more than $430 million in shared savings in 2018 under the Medicare Shared Savings Program (MSSP).
  • The care collaboration platform's ACO network includes thousands of providers that participate in the MSSP and other innovative value-based-care delivery models, including CMS' Next Generation ACO Program , to improve care quality and organizational outcomes.
  • ACOs, hospitals, post-acute-care providers, health plans and community physicians all use PatientPing to collaborate on patient care across the healthcare continuum.
  • PatientPing is a Boston-based care collaboration platform that reduces the cost of healthcare by seamlessly connecting providers to coordinate patient care.

Innovation Care Partners announces earned revenue in Medicare Shared Savings Program

Retrieved on: 
Thursday, October 10, 2019
Healthcare in the United States, Healthcare reform in the United States, Managed care, Health, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Accountable care organization, Medicare, Medicaid, United States National Health Care Act, Supplier-induced demand, Oncology Care Model

SCOTTSDALE, Ariz., Oct. 10, 2019 /PRNewswire/ --Innovation Care Partners, an affiliate of HonorHealth, announces that for the fifth year in a row, Scottsdale Health Partners (SHP) Medicare Shared Savings Program (MSSP) has earned a shared savings payment from Medicare for its outstanding quality and efficiency in 2018.

Key Points: 
  • SCOTTSDALE, Ariz., Oct. 10, 2019 /PRNewswire/ --Innovation Care Partners, an affiliate of HonorHealth, announces that for the fifth year in a row, Scottsdale Health Partners (SHP) Medicare Shared Savings Program (MSSP) has earned a shared savings payment from Medicare for its outstanding quality and efficiency in 2018.
  • Innovation Care Partners, a clinically integrated network and accountable care organization, includes more than 1,900 physicians, over 350 physician offices, plus HonorHealth's five hospitals, clinics and outpatient facilities.
  • "Supported by analytics and advanced technology, Innovation Care Partners focuses on our patients needs under the direction of physician leadership.
  • Innovation Care Partners currently manages more than 130,000 patients through ten different insurance contracts including Medicare Advantage, Medicaid, commercial insurance, and HonorHealth's employee health plan.

CCGroup Receives Access to National CMS Medicare Claims to Improve Physician and Hospital Efficiency of Care

Retrieved on: 
Thursday, October 10, 2019
Technology, Consulting, Professional services, Software, Practice Management, Health, Data management, Healthcare reform in the United States, Healthcare in the United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Managed care, Health in the United States, Health, Medicare Advantage, Medicare, Medicaid, Oncology Care Model, Accountable care organization

With this distinction, CCGroup gains access to all acute care, post-acute care, physician visits, physician procedures, and pharmacy services for more than 38 million individuals each year.

Key Points: 
  • With this distinction, CCGroup gains access to all acute care, post-acute care, physician visits, physician procedures, and pharmacy services for more than 38 million individuals each year.
  • Access to the Medicare FFS beneficiary claims will only add to CCGroups extensive experience and research with commercial, Medicaid, and Medicare Advantage populations.
  • This effort began over 15 years ago with a CCGroup approved CMS study (utilizing complete CMS Medicare FFS claims) entitled Measuring Physician Efficiency by Specialty Type and Geographic Locations, Dr. Cave said.
  • CCGroup will apply these innovative efficiency analytics and statistics to the CMS Medicare FFS claims.

Fifteen Practices in The US Oncology Network Earn High-Quality Performance Ratings in the Oncology Care Model, Saving Medicare $35 Million

Retrieved on: 
Tuesday, October 8, 2019
Insurance, General Health, Oncology, Health, Hospitals, Professional services, Healthcare in the United States, Healthcare reform in the United States, Health, Managed care, Health insurance in the United States, Oncology Care Model, Patient Protection and Affordable Care Act, McKesson Corporation, Medicare, Texas Oncology, Community Oncology Alliance

While improving care and providing an enhanced patient experience, the practices saved Medicare approximately $35 million during the performance period compared to the established benchmark.

Key Points: 
  • While improving care and providing an enhanced patient experience, the practices saved Medicare approximately $35 million during the performance period compared to the established benchmark.
  • The US Oncology Network is strongly committed to the Oncology Care Model and practice transformation to enhance high-quality patient care, noted Dr. Neubauer.
  • Every day, The US Oncology Network (The Network) helps more than 1,200 independent physicians deliver value-based, integrated care to patients close to home.
  • The Network provides practices with access to coordinated resources, best business practices, and the experience, infrastructure and support of McKesson Corporation .

Blue Ridge Cancer Care Selects Navigating Cancer's Digital Platform To Succeed in Value-Based Care

Retrieved on: 
Wednesday, October 2, 2019
Healthcare in the United States, Health, Oncology, Health insurance in the United States, Healthcare reform in the United States, Managed care, Oncology Care Model, Patient Protection and Affordable Care Act

SEATTLE, Oct. 2, 2019 /PRNewswire-PRWeb/ -- Navigating Cancer, developer of the most broadly deployed patient relationship management (PRM) platform in the oncology industry, announced today that Blue Ridge Cancer Care (BRCC) recently deployed its Navigating Care platform.

Key Points: 
  • SEATTLE, Oct. 2, 2019 /PRNewswire-PRWeb/ -- Navigating Cancer, developer of the most broadly deployed patient relationship management (PRM) platform in the oncology industry, announced today that Blue Ridge Cancer Care (BRCC) recently deployed its Navigating Care platform.
  • This comprehensive digital platform ties together clinical workflows, oncology content and data capabilities to provide tangible improvements in personalized and targeted patient care.
  • As a participant in the Oncology Care Model, BRCC is dedicated to improving patient outcomes through more personalized and proactive care for its patients.
  • With over 1,700 providers adopting the Navigating Care platform, it is the most broadly deployed patient management solution in oncology.

Aledade Medicare ACOs Improve Quality of Care and Health Outcomes, Save Medicare Over $69 Million in 2018

Retrieved on: 
Tuesday, October 1, 2019
Healthcare in the United States, Health, Managed care, Healthcare reform in the United States, Accountable care organization, Medicare, Elliott S. Fisher, Oncology Care Model

Aledade ACOs have saved Medicare more than $120 million over four years, increasing the amount saved each year.

Key Points: 
  • Aledade ACOs have saved Medicare more than $120 million over four years, increasing the amount saved each year.
  • The physicians practicing in Aledade's Medicare ACOs reduced costs by delivering high-quality care, earning an average quality score of 96 percent across all of the ACOs in 2018.
  • By focusing on proactive patient management and preventive care, Aledade ACOs increased access to primary care, which is less expensive for the health care system and a better experience for patients.
  • Founded in 2014, Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care.

Value Over Volume: OneOncology Takes a Leading Role in Value-Based Cancer Care Models

Retrieved on: 
Tuesday, September 10, 2019
Healthcare reform in the United States, Healthcare in the United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Health in the United States, Health, Managed care, Health insurance in the United States, Oncology Care Model, Medicare, Medicaid, Medicare Quality Cancer Care Demonstration Act

NASHVILLE, Tenn., Sept. 10, 2019 /PRNewswire/ -- OneOncology physicians and leaders are studying the implications of risk-based payments to ensure oncology partner practices remain at the forefront of value-based care.

Key Points: 
  • NASHVILLE, Tenn., Sept. 10, 2019 /PRNewswire/ -- OneOncology physicians and leaders are studying the implications of risk-based payments to ensure oncology partner practices remain at the forefront of value-based care.
  • As the transition from fee-for-service to value-based care by both commercial payers and the Centers for Medicare and Medicaid Services (CMS) picks up momentum, OneOncology is focused on positioning its practices for success in any reimbursement environment.
  • "The future of oncology is based in value not volume," said Dr. Jeffrey Patton, President of Physician Services for OneOncology and CEO of Tennessee Oncology.
  • OneOncology partner practices areleaders in value-based care implementation as part of the Centers for Medicare and Medicaid Services' (CMS) Oncology Care Model (OCM) or with various commercial payers.

Value-Based Reimbursement in the United States, 2018 - Increasing Costs Drive Shift to Value - ResearchAndMarkets.com

Retrieved on: 
Monday, July 1, 2019
Managed care, Health, Healthcare in the United States, Healthcare reform in the United States, Managed care, Health in the United States, Health, Health insurance in the United States, Oncology Care Model, Patient Protection and Affordable Care Act, Accountable care organization, Bundled payment, VBR, Reimbursement

The US healthcare environment has been witnessing a slow albeit continuous shift from volume- to value-based reimbursement over the past couple of decades, with the healthcare reform under the Accountable Care Act providing significant momentum for the change.

Key Points: 
  • The US healthcare environment has been witnessing a slow albeit continuous shift from volume- to value-based reimbursement over the past couple of decades, with the healthcare reform under the Accountable Care Act providing significant momentum for the change.
  • While the shift has mostly affected provider reimbursement, and affected specific pockets of activity more than others, medicines reimbursement has remained mostly insulated from this dynamic.
  • Major VBR initiatives utilized so far include bundled payment programs, accountable care organizations (ACOs), and the oncology care model.
  • Volume-based payment systems are entrenched, and a shift to VBR could result in revenue gaps
    Who will drive the shift to VBR?