Public Listening Session: Informal RFI on the Oncology Care First Model

The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) previously announced a Public Listening Session and informal Request for Information (RFI), to gather feedback on a potential Oncology Care First (OCF) Model.

We will accept written feedback on the informal RFI, until Friday, December 13, 2019. Please note that we have extended the feedback period from Monday, November 25, 2019 as we wish to give the public more time to respond.  Written feedback can be sent to, until the close of the feedback period on Friday, December 13, 2019.

In submitted written feedback, we hope to gather stakeholder input on the following targeted topics:

  1. The potential OCF Model would seek to improve health outcomes and quality of care for Medicare beneficiaries with cancer. How could the potential model support participants’ care transformation through practice redesign activities? Specifically, how could the potential model build on lessons learned from the implementation of the practice redesign activities included in the Oncology Care Model (OCM)? What revisions or additions should be made to the OCM practice redesign activities in the potential model?
  2. We welcome feedback on the potential payment methodology, including the structure and design of the monthly population payment and the performance-based payment. We are considering the inclusion of additional services in the monthly population payment, such as imaging or lab services, and seek feedback on adding these or other services to the monthly population payment.
  3. We encourage feedback on the conceptualized risk arrangements, in particular, how a downside risk arrangement might be best constructed in terms of the level of risk.

We invite feedback on the interest of physician group practices (PGPs) and hospital outpatient departments (HOPDs) in participating in a potential OCF Model. We are particularly interested in hearing from PGPs and HOPDs about the conceptualized participation eligibility parameters (e.g., the grouping concept), and whether they think that meeting those parameters would be feasible. We also invite feedback from potential payer partners, including commercial payers and state Medicaid agencies. We welcome suggestions about the model concept that would better incentivize participation in the potential model.

We appreciate stakeholder support and engagement with the Innovation Center and the ongoing Oncology Care Model (OCM), and seek to continue to engage stakeholders as we develop a potential Oncology Care First Model.

Public Listening Session: Informal RFI on the Oncology Care First Model

Monday, November 4, 2019
1:00p.m. – 4:00p.m. EST

Hubert H. Humphrey Building - Great Hall
200 Independence Avenue, SW
Washington, D.C. 20201


A recording of the Public Listening Session is linked below (please note, that the session recording is divided into two parts):


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