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Thursday, July 18, 2024

CMMI Refines and Extends Enhancing Oncology Mannequin

On Could 30, the Facilities for Medicare & Medicaid Companies introduced the opening of a second spherical of purposes to affix the Enhancing Oncology Mannequin (EOM) in July 2025. The appliance portal to use will open in July 2024. 

EOM is a voluntary fee mannequin supposed to rework take care of most cancers sufferers. EOM goals to enhance care coordination, high quality, and well being outcomes for sufferers whereas additionally holding oncology practices accountable for whole prices of care to make most cancers care extra reasonably priced, equitable, and accessible for sufferers and Medicare. There are 41 practices and three payers taking part within the first cohort. 

The Middle for Medicare & Medicaid Innovation (CMMI)  additionally introduced a number of refinements to the mannequin’s insurance policies, together with:
• Growing the bottom Month-to-month Improve Oncology Companies (MEOS) fee quantity from $70 per beneficiary per 30 days to $110 per beneficiary per 30 days, For dually eligible beneficiaries, the MEOS fee will improve from $110 per beneficiary per 30 days to $140 per beneficiary per 30 days;
• Elevating the edge for the purpose through which members are required to pay again CMS to prices associated to their sufferers’ care; and
• Extending the mannequin by two years, till June 2030.

The Group Oncology Alliance issued an announcement saying that it continues to see important lags in information reporting, that means practices are pressured to attend lengthy intervals of time to learn the way they’re doing every efficiency interval. Along with unacceptable wait occasions, practices are nonetheless seeing some structural points and are actually confronted with uncertainties surrounding MEOS. “Whereas the updates from CMMI are a step in the fitting route, we all know the EOM can proceed to evolve in a approach that works higher for these using it day after day,” COA stated. 

“We’re wanting to see how neighborhood oncology practices reply to those updates. COA is devoted to new fashions that remodel most cancers care supply and profit sufferers. We’ll proceed working with CMMI on these and different enhancements to the EOM, in addition to future fashions,” the group stated. 

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