August 4, 2022 — TheBiden Administration, through the U.S. Department of Health and Human Services and theCenters for Medicare & Medicaid Services(CMS), announced a new model aimed at improving cancer care for Medicare patients and lowering health care costs. CMS’ Center for Medicare and Medicaid Innovation (Innovation Center) designed theEnhancing Oncology Model(EOM) to test how to improve health care providers’ ability to deliver care centered around patients, consider patients’ unique needs, and deliver cancer care in a way that will generate the best possible patient outcomes. The model will focus on supporting and learning from cancer patients, caregivers, and cancer survivors, while addressing inequities and providing patients with treatments that address their unique needs. This new model supports President Joe Biden’sUnity AgendaandCancer Moonshot致力于改善癌症患者及其家人的生活体验。
“No one should have to battle cancer without access to high quality, coordinated care,” saidHHS Secretary Xavier Becerra. “With this new Innovation Center model for oncology care, we are delivering on President Biden’s call to action to mobilize every option to address cancer, and creating a system of care that supports all patients and their families. We will continue to do all we can to make access to this care equitable and end cancer as we know it.”
“There are stark inequities in the ability of people with cancer across race, gender, region, and income to access cancer screening, diagnostics, and treatment,” said CMS AdministratorChiquita Brooks-LaSure. “CMS is working to advance President Biden’sCancer Moonshotgoals by helping Medicare cancer patients better navigate a challenging and often overwhelming journey. The Enhancing Oncology Model will incentivize participating oncology practices – including those in rural and underserved areas – to improve the provision of high quality, coordinated care that addresses patients’ social needs and improves patient and caregiver support.”
The central goal of EOM is to better support patients and improve their care experience, advancing a key goal of the Cancer Moonshot Initiative. Oncology practices who participate in EOM can expect to provide patient-focused Enhanced Services, such as 24/7 access to a clinician, patient navigation services, a detailed care plan, and screenings for health-related social needs. Patients will also have an opportunity to share feedback on their overall cancer care experience and health outcomes. EOM aims to increase and improve communications among patients, oncologists, and care teams in-between appointments and enable patients to more easily reach their health care providers with questions.
In addition to requiring participants to screen for health-related social needs, EOM includes other design elements that help drive CMS’ commitment to advancing health equity, including:
- Offering an additional payment to participating oncology practices that provide Enhanced Services to patients who qualify for both Medicare and Medicaid,
- Requiring participating providers to report patient demographic data (e.g., race, ethnicity, language, gender identity), and
- Requiring participating providers to develop plans showing how they will address health equity gaps in their patient population.
President Biden has reignited theCancer Moonshotand set new national goals: if we work together, we can cut the death rate from cancer by at least 50% over the next 25 years, and improve the experience of people and their families living with and surviving cancer — and, by doing this and more, end cancer as we know it today.
Earlier this month, HHS announced first-year funding awards of $215 million in a five-year,$1.1 billion investmentinto three national programs to prevent and control cancer. In May, HHS announced theavailability of $5 million由美国卫生与公众服务部卫生资源与服务管理局资助的社区卫生中心，以增加拯救生命的癌症筛查的公平获得。
A fact sheet on EOM is available at:https://www.cms.gov/newsroom/fact-sheets/enhancing-oncology-model
For oncology practices interested in participating in EOM, the Request for Applications is available at:https://app.innovation.cms.gov/EOM. All EOM applications must be submitted by 11:59 pm Eastern Daylight Time on September 30, 2022.
More information on the Enhancing Oncology Model is available at:https://innovation.cms.gov/innovation-models/enhancing-oncology-model.
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August 03, 2022
