PATHWAYS
Payment Reform
Payment Reform is a sweeping topic and this pathway explains the many ways in which payment reform is shaping the delivery of cancer care from volume to value. Alternative payment models such as ACOs, oncology medical homes, episode-based payments, and the new Enhanced Oncology Model are included in this pathway.
Modulettes
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Details the Enhancing Oncology Model, a CMS value-based payment program
PATHWAYS: Federal Payer • Commercial Payers • Reimbursement • Payment Reform • Patient Focused • New Hire Curriculum
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Provides an overview of episode-based payment models piloted in oncology care
PATHWAYS: Federal Payer • Commercial Payers • Reimbursement • Payment Reform • Patient Focused • New Hire Curriculum
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Explains how data collected after the clinical trial process is used by payers and providers to guide decision-making
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Provides a detailed view of the IRA and what it means to the delivery of cancer care, patients, and providers
PATHWAYS: Federal Payer • Commercial Payers • Reimbursement • Payment Reform • Patient Focused • Practice Management • Treatment Innovations • New Hire Curriculum
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Details MACRA and the Quality Payment Program as part of the shift towards performance-adjusted payments and away from fee-for-service payments
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Details key information on ACOs, helping providers understand the advantages and disadvantages of different ACO structures
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Details the value-based Oncology Medical Home (OMH) payment model
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Exploration of the term “quality” in the delivery of cancer care, and how it helps identify value based, versus volume based, models of cancer care
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Outlines the shift to value-based care, explores care frameworks and reimbursement strategies that consider patients' outcomes
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Explains the various incentive-based payment programs that are moving providers and healthcare teams from fee-for-service to value-based healthcare
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Defines the various terms used in physician-administered drug reimbursement
PATHWAYS: Federal Payer • Commercial Payers • Reimbursement • Payment Reform • New Hire Curriculum