Erin Crum, MPH
The paradigm shift in reimbursement to value-based care and mandatory quality data reporting presents new challenges for community oncology practices. Specifically, many clinicians now participate in the Centers for Medicare & Medicaid Services (CMS) Oncology Care Model (OCM), other alternative payment models (APMs), and the Merit-based Incentive Payment System (MIPS). These all tie payments directly to efficient use of healthcare dollars and improvements in patient care.
Many commercial payers have gravitated toward payment models that reflect this new emphasis on value-based care and require data demonstrating high-quality patient care and cost reduction. To ease the administrative burden, CMS has facilitated the collection and processing of information by allowing the formulation of Qualified Clinical Data Registries (QCDRs), which collect data on quality measures from individual providers and group practitioners and transfer this information to CMS. This helps practices to satisfy MIPS requirements for quality and value improvement.
Various organizations have been designated as QCDRs in response to this need for information that shows how well providers are meeting quality and value standards, which CMS uses to determine financial rewards and penalties.
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