New CMS Payment Model Flexibilities For COVID-19

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Innovation Center Model: Oncology Care Model (OCM)

Financial Methodology Changes
• Option for OCM practices to elect to forgo upside and downside risk for performance periods affected by the PHE
• For OCM practices that remain in one- or two-sided risk for the performance periods affected by the PHE, remove COVID-19 episodes from reconciliation for those performance periods

Quality Reporting Changes
Make the following optional for the affected performance periods:
• Aggregate-level reporting of quality measures
• Beneficiary-level reporting of clinical and staging data
Remove the requirement for cost and resource utilization reporting and practice transformation plan reporting in July/August 2020

Model Timeline Changes
• Extend model for 1 year through June 2022

Click here to read the CMS Innovation Center COVID-19 Flexibilities
Click here to read the full Health Affairs blog