Tough decisions: How OCM and BPCIA participants managed COVID-19 overlap challenges

The COVID-19 pandemic has impacted every aspect of our healthcare system. That’s true for participants in the Oncology Care Model and Bundled Payments for Care Improvement Advanced programs. Organizations in these programs had to make important decisions regarding the overlap of their program performance periods with the COVID-19 public health emergency. Several trends have begun […]

Major OCM deadline approaching

In response to the COVID-19 pandemic, CMS has implemented several policy amendments and changes to value-based care program methodologies. In June, CMS released new COVID-19-related payment methodology and data reporting flexibilities for Oncology Care Model participants impacting performance periods 7-9, along with establishing two new voluntary performance periods in 2021. The deadline for electing to […]

Mandatory Bundled Payment Models Are Back! 5 Things To Know

This guest blog is from Tamara Cull, Senior Vice President, Aveus. Aveus, a division of Medecision, sits at the intersection of strategy, customer experience, and innovation. Aveus specializes in helping complex organizations assess, implement and manage transformational business shifts.       My colleague, Kate Poglitsch at DataGen, posed a big question in her most […]

The Return of Mandatory Bundles: Good News?

We at DataGen were excited to hear last week’s news about the new mandatory oncology bundle that will focus on cancer patients undergoing radiation treatment. Though we’re waiting on CMS to release more information about its rulemaking, the Department of Health and Human Services’ (HHS) 2017 report to Congress contains some telling information that helps […]

Making the Most of MSPB

You may not know about MSPB, but focusing efforts there can lead to real savings Now that bundled payment programs like the Oncology Care Model (OCM) and the Comprehensive Care for Joint Replacement (CJR) model have been in effect for some time, one factor is becoming clear: hospitals appear reluctant to participate. As of July […]

BPCI Advanced: Understanding the BPCI Advanced Targets

In February, CMS issued preliminary target specifications for the Bundled Payments for Care Improvement (BCPI) Advanced program.  The targets in CMS bundled payment programs have progressed from straightforward, provider-specific, historical performance-based targets in original BPCI, to regional historical targets stratified by patient diagnosis in the Comprehensive Care for Joint Replacement (CJR) program, to case mix-adjusted, […]

A Year into OCM: Four Essential Practice Redesign Activities

The first 12 months of the Center for Medicare and Medicaid Innovation’s Oncology Care Model (OCM) have been a significant learning experience for participants. Practices have had to come to grips with how different OCM is from other bundled payment models like the Comprehensive Care for Joint Replacement (CJR) or Bundled Payments for Care Improvement […]