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 hitch the Enhancing Oncology Mannequin (EOM) in July 2025. The applying portal to use will open in July 2024. 

EOM is a voluntary fee mannequin supposed to remodel 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 complete 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 Heart for Medicare & Medicaid Innovation (CMMI)  additionally introduced a number of refinements to the mannequin’s insurance policies, together with:
• Rising 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 enhance from $110 per beneficiary per 30 days to $140 per beneficiary per 30 days;
• Elevating the edge for the purpose by which individuals 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 vital lags in information reporting, that means practices are compelled to attend lengthy intervals of time to learn how they’re doing every efficiency interval. Along with unacceptable wait occasions, practices are nonetheless seeing some structural points and at the moment are confronted with uncertainties surrounding MEOS. “Whereas the updates from CMMI are a step in the proper route, we all know the EOM can proceed to evolve in a manner that works higher for these using it daily,” COA mentioned. 

“We’re wanting to see how group 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 mentioned.