2020 Medicare physician fee schedule changes and value-based care

Susie BaficoChronic Care Management, MIPS, Value-based Care

In early November 2019, CMS finalized their 2020 Medicare physician fee schedule rule. CMS has set in motion changes that will affect value-based care over the next several years. The final rule addresses future changes for MIPS, including the introduction of MIPS Value Pathways for 2021, chronic care management code changes, and the revised structure for E&M codes. We are … Read More

Personalized Medicine and Value-Based Care

Stephanie GingerPatient-centered Care, Value-based Care

How is personalized medicine impacting oncology? A panel at AJMC’s recent Patient-Centered Oncology Care Conference explored this topic. Payer, diagnostic, and advocacy representatives shared their perspectives in this discussion. What is personalized medicine? The panelists all agreed on a definition for personalized medicine: tailored, targeted therapies based on each individual patient’s needs. One panelist commented that personalized medicine leverages diagnostics … Read More

Future of Oncology Advanced Payment Models

Stephanie GingerPatient-centered Care, Value-based Care

The shift to value What’s next for oncology advanced payment models? That was the topic one panel tackled at AJMC’s recent Patient Centered Oncology Care Conference. The panel represented the provider, payer, and technology perspectives. There was agreement that the Oncology Care Model, while flawed, was a good first step in redefining cancer care. Rather than churning through patients to … Read More

Patient-Reported Outcomes and Value-Based Care

Stephanie GingerPatient Reported Outcomes, Value-based Care

Scientific research demonstrates that clinicians miss approximately half of patients’ symptoms during cancer treatment. As a result, patients can suffer due to poor symptom control, treatments may be delayed or missed, and preventable emergency room visits and hospitalizations occur. It is known that poorly controlled symptoms drive preventable ER visits. As more practices engage in value-based care agreements and explore … Read More

Keeping up with the rapidly changing landscape of cancer care

Stephanie GingerPatient-centered Care, Value-based Care

The American Journal of Managed Care recently hosted the Patient-Centered Oncology Care Conference in Philadelphia. The theme of this meeting was “Innovation and Quality: New Direction in Value-Based Care” and it was comprised of a full day of presentations from thought leaders and panel discussions with key innovators in cancer care. Advancing Technologies for Cancer Detection and Care To open … Read More

2019 ACCC National Oncology Conference Roundup

Stephanie GingerNews, Value-based Care

The ACCC 36th National Oncology Conference was attended by hundreds of cancer care professionals and thought leaders. Over three days, attendees and presenters shared insights, experiences, and strategies for improving cancer care. Navigating Cancer’s team spoke to attendees in the exhibit hall about the challenges their programs are facing and how Patient Relationship Management technology can help solve challenges like … Read More

Transformative Care Models

Stephanie GingerValue-based Care

This session during the recent ACCC National Oncology Conference featured a look at new care models and practice transformations that have been prompted by value-based care and posed several questions for the audience to start the session. About half reported their program has recently been through a redesign and of those, most reported that it has been positive. Of the … Read More

Practice transformation in value-based cancer care

Susie BaficoValue-based Care

At the 2019 Association for Value-Based Cancer Care Summit this year, we sat in on this great panel called “Practice Transformation Embracing Clinical Decision Support Systems and Care Management Processes and Influence on Value Based Cancer Care.” In this post we’ll provide some of the highlights from this panel discussion. This panel discussion brought together key stakeholders in healthcare: Andrew … Read More

Community oncology perspectives on value-based cancer care

Susie BaficoValue-based Care

At the 2019 Association for Value-Based Cancer Care Summit this year, we sat in on a great panel called “Community Oncology Perspectives on Value-based Cancer Care” that focused on community oncology practices. At Navigating Cancer we support community oncology practices across the country, and we’re always looking to learn more. In this post we’ll provide an overview of some of … Read More

HHS announces proposed changes to laws to support value-based care

Susie BaficoValue-based Care

Leverage digital tools to improve cancer care

This week the Department for Health and Human Services (HHS) announced proposed rules that would update and clarify regulations for the Stark Law and the anti-kickback statute. HHS has acknowledged the rules as they currently stand were developed in a fee-for-service healthcare landscape, and they must be modified to fit the shift to value-based arrangements.  The Stark Law When the … Read More