11/22/2019

CMS Seeks Feedback on the Potential Oncology Care First Model: Informal Request for Information

Feedback Period Extended to Friday, December 13, 2019

CMS will accept written feedback on the potential Oncology Care First Model: Informal Request for Information READ MORE, until Friday, December 13, 2019. Written feedback can be sent to OCF@cms.hhs.gov, until the close of the feedback period on Friday, December 13, 2019.

 

In submitted written feedback, CMS hopes to gather stakeholder input on the following targeted topics:

1. The potential OCF Model would seek to improve health outcomes and quality of care for Medicare beneficiaries with cancer. How could the potential model support participants’ care transformation through practice redesign activities? Specifically, how could the potential model build on lessons learned from the implementation of the practice redesign activities included in the Oncology Care Model (OCM)? What revisions or additions should be made to the OCM practice redesign activities in the potential model?
2. Feedback is welcomed on the potential payment methodology, including the structure and design of the monthly population payment and the performance-based payment. We are considering the inclusion of additional services in the monthly population payment, such as imaging or lab services, and seek feedback on adding these or other services to the monthly population payment.
3. CMS encourages feedback on the conceptualized risk arrangements, in particular, how a downside risk arrangement might be best constructed in terms of the level of risk.

CMS invites feedback on the interest of physician group practices (PGPs) and hospital outpatient departments (HOPDs) in participating in a potential OCF Model. CMS is particularly interested in hearing from PGPs and HOPDs about the conceptualized participation eligibility parameters (e.g., the grouping concept), and whether they think that meeting those parameters would be feasible. CMS also invites feedback from potential payer partners, including commercial payers and state Medicaid agencies. They welcome suggestions about the model concept that would better incentivize participation in the potential model.