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Oncologists set to lose big under CMS payment model
Modern Healthcare

A new analysis suggests most oncology practices participating in CMS’ voluntary bundled-payment model are not prepared to take on downside risk and need more time to prepare before the mandatory start date in July.

New estimates released Tuesday by Avalere Health projected around 70% of the 176 oncology practices participating in the Oncology Care Model would owe the CMS payments to recoup costs if they moved from their current one-sided, upside risk arrangement to a two-sided risk arrangement where they would be responsible for paying the difference if they did not meet a target price for services.