EM1609G "The Oncology Care Model, Care Delivery & Payment Reform: A Riddle Wrapped in Risk, Culture & Opportunity" (IM GR-093016)
Advances in basic science are transforming the clinical practice of medicine at a rapid pace. Despite these wondrous transitions in our science, we have not effectively tackled the task of our time – how do we deliver health care to maximize benefit & avoid toxicity to patients AND do so in an effective and efficient manner AND pay for it? Indeed, healthcare delivery is the thorniest issue that we face as a society and as a profession.
The demand that healthcare be of high quality, be delivered in a cost efficient and highly coordinated manner is driving change in care delivery. Private and government payers have set in motion an array of market pressures and regulatory demands to press change in practice. This talk will address these demands and provide an overview of the most challenging regulatory issues affecting care delivery. Highlighted will be a recently initiated alternative payment model for oncology by CMS – the oncology care model – as a template for change.
UT Southwestern faculty, fellows, residents and medical students, community physicians, nurse clinicians, physician assistants and nurses.
At the conclusion of this activity, the participant should be able to:
- Describe the intersect of care delivery reform with the systems of healthcare reimbursement.
- Explain the mandates of MACRA and MIPS. (Medicare Access & CHIP Reauthorization Act of 2015 / Merit-Based Incentive Payment System)
- Determine steps that can be taken to prepare for a change to a reimbursement system that focuses on outcomes.
John Cox, D.O., M.B.A., F.A.C.P., F.A.S.C.O.
Professor of Internal Medicine
Division of Hematology and Oncology
- 1.00 AMA
- 1.00 Ethics