Announcement from the Centers for Medicare & Medicaid Services (CMS):
Today, the Centers for Medicare & Medicaid Services (CMS) Innovation Center is happy to announce the new, voluntary Enhancing Oncology Model (“EOM”). The Biden-Harris Administration’s Cancer Moonshot aims to improve the experience of people and their families living with cancer. EOM is aligned with the Biden-Harris Administration’s effort to meet its Cancer Moonshot goal of improving the experience of people living with cancer by supporting and learning from cancer patients, caregivers, and cancer survivors, addressing inequities, and providing the right treatments to the right patients.
“No one should have to battle cancer without access to high quality, coordinated care,” said HHS 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 resources to access cancer screening, diagnostics and treatment,” said Chiquita Brooks-LaSure, CMS Administrator. “CMS is working to advance President Biden’s Cancer Moonshot goals in ways that help Medicare cancer patients better navigate a challenging and often overwhelming journey. We believe 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.”
EOM also aligns with the CMS Innovation Center Strategic Objectives of driving accountable care, advancing health equity, and improving access by addressing affordability. The goal of EOM is to drive transformation in oncology care by preserving and enhancing the quality of care furnished to beneficiaries undergoing treatment for cancer while reducing Medicare program spending. EOM aims to improve quality and reduce costs through payment incentives and required participant redesign activities. Oncology practices that participate in EOM will take on financial and performance accountability for episodes of care surrounding systemic chemotherapy administration to patients with common cancer types.
EOM builds on the successes and lessons learned of the Oncology Care Model (OCM) and feedback from the oncology community, including, but not limited to OCM participants, patient advocacy groups, oncology professional associations, and others. EOM focuses on value-based, patient-centered care for cancer patients with a specific focus on health equity. CMS encourages oncology practices caring for underserved beneficiaries to apply. EOM will include screening for health-related social needs (HRSNs), introduce data reports on expenditure and utilization patterns of their patient population to help health care professionals identify and address health disparities, and offer an additional payment for the provision of Enhanced Services to patients who are dually eligible for Medicare and Medicaid that is not included in the total cost of care responsibility. EOM participants will ask patients to routinely report their symptoms in order to encourage better communication and a more proactive care response, and EOM participants will be required to submit plans outlining how they will promote health equity.
EOM is set to launch on July 1, 2023, and will be a five-year model test.
The EOM Request for Applications is available now on the EOM website at https://innovation.cms.gov/innovation-models/enhancing-oncology-model.
To apply to participate in EOM, applicants must submit their applications at https://app.innovation.cms.gov/EOM. The application period for EOM is currently open. All EOM applications must be submitted by 11:59 pm Eastern Daylight Time on September 30, 2022. CMS may not review applications submitted after the deadline.
There will be an EOM Overview Webinar on Thursday, June 30, 2022 at 3:00-4:30 PM EST. Register to attend here.
For more information, please reference the EOM website at https://innovation.cms.gov/innovation-models/enhancing-oncology-model.