The Future of Oncology Revenue Cycle Management and Precision Medicine Under Value-Based Care

Conference Correspondent

Designing and implementing innovative value-based contracts is a challenge to stakeholders across the cancer care ecosystem. In the November 18 session of the Association for Value-Based Cancer Care (AVBCC) 10th Annual Summit, Gail Airasian, Vice President of Sales and Services at Flatiron Health, moderated a panel of industry leaders who discussed the challenges of value-based contracts and the future of precision medicine.

Christine Hall, Vice President of Revenue Cycle at American Oncology Network, LLC, began the conversation by saying that there is no standardization when it comes to value-based care. Clinical care is often the focus when discussing value-based contracts, but a holistic approach should be taken. Ms Hall believes precision medicine will be important in the future, but right now it is in the beginning stages.

Ron DiGiaimo, MBA, FACHE, Chairman of the Board, Revenue Cycle Coding Strategies/The Oncology Group and RC Billing, spoke on his lobbying efforts, working with Congress and senators to delay RO-APM, which is set to move too quickly. Mr DiGiaimo also emphasized the different client needs from small to large centers and the need for accessible education for all.

Regarding the variation of size and resources in centers, Parag Shah, President of Practice Solutions at Integra Connect, said he is working on collapsing silos that exist and bringing the information together. Although community-based practices have a large role to play, there is variation between practices on resource and size, making it difficult for some practices to do an analysis.

Brian Gockerman, MBA, Managing Director at Unlimited Systems, said the common denominator of all providers and all specialties is that they are working hard to assemble a current snapshot that can represent the services rendered in their environment. As these value-based care models demand a broader range of data and retrospective information, it is critical for the payer infrastructure to be thinking about scalability, flexibility, and compliance.

Other hot topics from this discussion included consistent revenue streams during transition to value-based care, how technology can support the transition, and forward-thinking strategies as more reimbursements are tied to clinical outcomes.

There is still time to register for the AVBCC Summit! The 10-week agenda is packed with timely insights and no-holds-barred debates that you need to understand today’s cancer care ecosystem and trends for the future.

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