Medicaid Enrollees Must Have Access to High-Quality Cancer Care, ASCO Writes in Comments to CMS

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IN A COMMENT letter to the Centers for Medicare & Medicaid Services (CMS), ASCO urged the agency to ensure that every Medicaid enrollee with cancer can access the high-quality care needed to treat his or her disease. The comments were submitted in response to a proposed rule on Medicaid and the Children’s Health Insurance Plan Managed Care program that aims to streamline the programs’ regulatory requirements, reduce administrative burden, and increase flexibility for state governments.

State Medicaid programs have the authority to contract with private health plans to administer Medicaid benefits on the state’s behalf. This is also known as managed care. ASCO’s comments focus on Medicaid Managed Care (MMC) network adequacy standards, the transition from volume-based to value-based care, and the quality of cancer care enrollees receive. Specific recommendations include:

  • CMS should enact network adequacy standards that are appropriate for ensuring that MMC enrollees who are patients or survivors of cancer can access high-quality cancer care in a timely fashion.
  • CMS should continue to allow value-based payment arrangements in MMC contracts. These arrangements facilitate and encourage the transition from a volume to a value-based care model.
  • CMS should ensure that quality measures for cancer care focus on the specifics of cancer treatment, are meaningful to patients, and are relevant in all oncology specialties.
  • CMS should create a quality measures set for cancer care that is focused on clinically relevant measures rather than task-oriented measures.

ASCO’s comments were informed by the Society’s policy statement on Medicaid reform, which details its recommendations for ensuring access to high-quality and high-value cancer care for Medicaid enrollees. ASCO’s work on the Patient-Centered Oncology Payment model and the Quality Oncology Practice Initiative was also highlighted in the comment letter, demonstrating ASCO’s long-standing commitment to providing value-based care and improving the quality of cancer care.

Read the full comment letter.

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