Radiation Oncology Models of Care: Savings for Providers

Wednesday, October 30, 2019 | by Randy Haught

Tags: Radiation Oncology, CMS Mandatory Payment Model, Medicare

On July 18, 2019, the Centers for Medicare and Medicaid Services (CMS) proposed a payment model that would make prospective episode-based payment for a list of specified professional and technical radiation therapy (RT) services furnished during a 90-day episode to Medicare fee-for-service (FFS) beneficiaries diagnosed with one of 17 cancer types. This issue brief - the third in our series of "Radiation Oncology Episodes of Care"- shows that the newly proposed CMS payment model may present savings opportunities for radiation therapy providers. 

Pathways to Success Implementation Offers ACOs Greater Risks and Rewards

Wednesday, February 27, 2019 | by Alex Hartzman

Tags: Accountable Care Organizations, ACOs, Hospitals, Medicare, MSSP

The Medicare Shared Savings Program (MSSP) is undergoing a major overhaul under the Pathways to Success regulation, finalized December 31, 2018. This regulation replaces the existing program participation tracks with an emphasis on increasing downside risk, as well as updates a variety of other program rules. This rule went into effect on January 1, 2019, with most aspects to be implemented fully starting July 1, 2019.