Reimbursement Issues

Business of Practice 2017: Maximize Your MIPS Success

Chase Doyle

August 2017, Vol 7, No 8: Special Edition – Highlights from ASCO 2017 - Professional Development, Reimbursement Issues

Chicago, IL—As the battle over the Affordable Care Act rages on, Congress remains steadfast in its support of the Quality Payment Program. Even though Medicare reimbursement will not change until 2019, the new era of the Quality Payment Program begins this year. At the 2017 ASCO annual meeting practice management sessions, Stephen S. Grubbs, MD, FASCO, ASCO’s Vice President of Clinical Affairs, described the requirements of the Quality Payment Program and shared strategies for optimal reporting. [ Read More ]

A New Prior Authorization Decision-Support Tool Can Reduce the Costs of Cancer Treatment

Dana Taylor

August 2017, Vol 7, No 8 - Reimbursement

Unless the costs of cancer care are reduced significantly, it is estimated that by 2028, the combination of patients’ health insurance premium costs plus out-of-pocket expenses will be the same as the average US household income. Cancer drug costs are escalating at an even faster rate, at least in part because of accelerated new approvals by the FDA and higher drug unit costs. [ Read More ]

ASCO’s New Patient-Centered Oncology Payment Model

Meg Barbor, MPH

June 2017, Vol 7, No 6 - Reimbursement

Orlando, FL—The American Society of Clinical Oncology (ASCO) has developed a proposal for an Alternative Payment Model that is focused on delivering value in oncology and supporting higher-quality and more affordable cancer care. Dan Zuckerman, MD, Executive Medical Director, St. Luke’s Mountain States Tumor Institute, and Past Chair, ASCO’s Clinical Practice Committee, discussed the details of the new Patient-Centered Oncology Payment model at ASCO’s first Oncology Practice Conference in March 2017. [ Read More ]