PATHWAYS
Federal Payer
The Federal Payer pathway explains the basics of reimbursement through Medicare and Medicaid and how they impact the oncology practices through buy and bill. This pathway also digs into more recent federal payment topics such as 340B and payment reform topics like MACRA, EOM, and IRA.
Modulettes
-
Item description
-
Item description
-
Item description
-
Details MACRA and the Quality Payment Program as part of the shift towards performance-adjusted payments and away from fee-for-service payments
-
A deep dive into Medicare infrastructure, including an explanation of how Medicare reimbursement works across different settings
-
Details the process for reimbursing services covered under Medicare Part B
-
Explores the dynamics of Medicare Part D prescription drug programs
-
Details key information on ACOs, helping providers understand the advantages and disadvantages of different ACO structures
-
Examines the national impact of cancer care costs
Federal Payer • Patient Focused
-
Item description
-
Provides basic knowledge on the two government-sponsored payment programs
-
Explains the various incentive-based payment programs that are moving providers and healthcare teams from fee-for-service to value-based healthcare