Paying For New Cancer Drugs In Medicare Bundling Pilot Poses Challenge

One solution might be to provide transitional add-on payments for a limited period of time, as CMS has done in other Medicare payment programs.

The Centers for Medicare and Medicaid Services is having a hard time finding the best approach for including expensive new cancer drugs in its test of a bundled payment system for oncology care, an agency official said.

CMS’ new Oncology Care Model will test an episode-of-care payment approach for chemotherapy and related services covered under Medicare Parts...

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