The Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted an introduction webinar about the Oncology Care Model (OCM) on Thursday, February 19, 2015 from 12:00pm – 1:00pm EST. The webinar focused on introducing core concepts of OCM and application instructions. Advance registration was not required.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Topic of presentation: Lymphoma. Pathology of Lymphoma, stages of Lymphoma, types of Lymphoma. Hodgkin and Non-Hodgkin lymphoma are discussed along with their sub types clinical features, diagnosis, treatment and prognosis.
Electives in Undergraduate Medical Education: A sneak-peeklavanyasumanthraj
National Medical Commission has introduced electives module in Indian Undergraduate Medical System (CBME model). This slide set gives an introduction in to the basic principles (What, why, how, when) of Electives module
Topic of presentation: Lymphoma. Pathology of Lymphoma, stages of Lymphoma, types of Lymphoma. Hodgkin and Non-Hodgkin lymphoma are discussed along with their sub types clinical features, diagnosis, treatment and prognosis.
Electives in Undergraduate Medical Education: A sneak-peeklavanyasumanthraj
National Medical Commission has introduced electives module in Indian Undergraduate Medical System (CBME model). This slide set gives an introduction in to the basic principles (What, why, how, when) of Electives module
Leukemia and lymphoma PATHOLOGY REVISION NOTES TONY SCARIA
PATHOLOGY REVISION NOTES BASED ON HIGH YIELD TOPICS
AND LECTURE NOTES
LEUKEMIA AND LYMPHOMA
HIGH YIELD TOPICS
MEDICINE HEMATOLOGY BASICS
IMAGE BASED QUESTIONS
PERIPHERAL SMEAR
Cancer, also called malignancy, is an abnormal growth of cells.
There are more than 100 to 200 types of cancer, including breast cancer, skin cancer, lung cancer, colon cancer, prostate cancer, and lymphoma. Symptoms vary depending on the type.
Cancer treatment may include chemotherapy, radiation, and/or surgery.
In this presentation I've tried to summarize classification of hemolytic anemia and in depth review of rbc membrane disorders like hereditary spherocytosis, hereditary elliptocytosis, enzymopathies of hemolytic anemia like g6pd disorder, pyruvate kinase disorders, hemoglobinopathies related to hemolytic anemia like thalassemia, sickle cell anemia and especially pathophysiology and mechanism of hemolysis either extravascular or intravascular. Hope it helps you understand the entity better.
The Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted a webinar on Monday, March 23, 2015 from 12:00pm to 1:00pm EDT to provide information and answer questions regarding payer participation in the Oncology Care Model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Oncology Care Model team hosted a webinar on OCM Frequently Asked Questions and Application Overview on Wednesday, April 22, 2015 at 12:00pm EDT. No password was required for the webinar.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Part D Payment Modernization Model team presented an overview webinar on Wednesday, February 6, 2019 from 1:00 p.m. to 2:00 p.m. EST. This is a repeat of the webinar held on Thursday, January 31 from 1:00 p.m. to 2:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation hosted a series of two webinars on Wednesday, July 15 and Thursday, July 16, 2015. These webinars focused on providing an overview of the model and provided an opportunity for attendees to ask questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Staff from the CMS Innovation Center hosted an overview webinar of the Health Care Innovation Awards Round Two to give interested potential applicants the opportunity to hear more about the Funding Opportunity Announcement. CMS Innovation Center staff were also available to answer questions. Advance registration was required.
- - -
CMS Innovations
http://innovations.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted an informational webinar March 11, 2014 on the parameters of Models 2-4 of the Bundled Payments for Care Improvement Initiative. This webinar was geared towards physicians, specialty practices and physician group practices.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted a webinar to discuss various aspects of the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model proposals on Wednesday, August 31, 2016, from noon – 1:00 p.m. EDT.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
During this webinar the Direct Contracting Model Options team hosted a webinar on Wednesday, December 11, 2019 from 1:30pm-3:00 p.m. EST entitled, Direct Contracting Overview/Direct Contracting Entity (DCE) Types/Alignment. During this webinar, presenters provided an overview of the Direct Contracting Model Professional and Global Options, including information about the participation and eligibility requirements, Direct Contracting Entity (DCE) types, payment mechanisms, and beneficiary alignment methodology.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The webinar introduced the Comprehensive Primary Care initiative to the primary care provider community and covered the service delivery model, including the 5 Comprehensive Primary Care functions, and the milestones participating practices will need to achieve in the first year. The process for applying was also discussed, including information about the application itself.
More at: http://innovations.cms.gov/resources/CPCi-Webinar-for-PCPs.html
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Advantage Value-Based Insurance Design Model team presented a webinar discussing the CY2020 application cycle on Friday, January 25 from 4:00 p.m. to 5:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Leukemia and lymphoma PATHOLOGY REVISION NOTES TONY SCARIA
PATHOLOGY REVISION NOTES BASED ON HIGH YIELD TOPICS
AND LECTURE NOTES
LEUKEMIA AND LYMPHOMA
HIGH YIELD TOPICS
MEDICINE HEMATOLOGY BASICS
IMAGE BASED QUESTIONS
PERIPHERAL SMEAR
Cancer, also called malignancy, is an abnormal growth of cells.
There are more than 100 to 200 types of cancer, including breast cancer, skin cancer, lung cancer, colon cancer, prostate cancer, and lymphoma. Symptoms vary depending on the type.
Cancer treatment may include chemotherapy, radiation, and/or surgery.
In this presentation I've tried to summarize classification of hemolytic anemia and in depth review of rbc membrane disorders like hereditary spherocytosis, hereditary elliptocytosis, enzymopathies of hemolytic anemia like g6pd disorder, pyruvate kinase disorders, hemoglobinopathies related to hemolytic anemia like thalassemia, sickle cell anemia and especially pathophysiology and mechanism of hemolysis either extravascular or intravascular. Hope it helps you understand the entity better.
The Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted a webinar on Monday, March 23, 2015 from 12:00pm to 1:00pm EDT to provide information and answer questions regarding payer participation in the Oncology Care Model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Oncology Care Model team hosted a webinar on OCM Frequently Asked Questions and Application Overview on Wednesday, April 22, 2015 at 12:00pm EDT. No password was required for the webinar.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Part D Payment Modernization Model team presented an overview webinar on Wednesday, February 6, 2019 from 1:00 p.m. to 2:00 p.m. EST. This is a repeat of the webinar held on Thursday, January 31 from 1:00 p.m. to 2:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation hosted a series of two webinars on Wednesday, July 15 and Thursday, July 16, 2015. These webinars focused on providing an overview of the model and provided an opportunity for attendees to ask questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Staff from the CMS Innovation Center hosted an overview webinar of the Health Care Innovation Awards Round Two to give interested potential applicants the opportunity to hear more about the Funding Opportunity Announcement. CMS Innovation Center staff were also available to answer questions. Advance registration was required.
- - -
CMS Innovations
http://innovations.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted an informational webinar March 11, 2014 on the parameters of Models 2-4 of the Bundled Payments for Care Improvement Initiative. This webinar was geared towards physicians, specialty practices and physician group practices.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted a webinar to discuss various aspects of the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model proposals on Wednesday, August 31, 2016, from noon – 1:00 p.m. EDT.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
During this webinar the Direct Contracting Model Options team hosted a webinar on Wednesday, December 11, 2019 from 1:30pm-3:00 p.m. EST entitled, Direct Contracting Overview/Direct Contracting Entity (DCE) Types/Alignment. During this webinar, presenters provided an overview of the Direct Contracting Model Professional and Global Options, including information about the participation and eligibility requirements, Direct Contracting Entity (DCE) types, payment mechanisms, and beneficiary alignment methodology.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The webinar introduced the Comprehensive Primary Care initiative to the primary care provider community and covered the service delivery model, including the 5 Comprehensive Primary Care functions, and the milestones participating practices will need to achieve in the first year. The process for applying was also discussed, including information about the application itself.
More at: http://innovations.cms.gov/resources/CPCi-Webinar-for-PCPs.html
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Advantage Value-Based Insurance Design Model team presented a webinar discussing the CY2020 application cycle on Friday, January 25 from 4:00 p.m. to 5:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Wednesday, April 27, 2016. During this webinar Model team members provided an overview of the model specifically for interested payers.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Modern Relationships Between Physicians, Hospitals, and Long-Term Care Provid...PYA, P.C.
PYA Consulting Manager Aaron Elias co-presented “Modern Relationships Between Physicians, Hospitals, and Long-Term Care Providers in a Time of Risk-Based Contracting,” along with Jeanna Palmer Gunville, a shareholder at Polsinelli.
During this webinar, a high-level overview of the ACO REACH Model was provided including information on the participation and eligibility requirements, Accountable Care Organization (ACO) types, payment mechanisms, and beneficiary alignment methodology.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Managing Total Joint Replacement Bundled Payment Models: Keys to SuccessWellbe
Speaker: Andrew Duncan, Executive Director for Orthopaedics and Rehabilitation at University of Florida Health
This webinar will describe bundled payments and episode of care based patient management strategies. Attendees can learn to successfully manage total joint replacement bundled payment programs and what clinical service delivery strategies to use to be positioned for success. The importance of collecting and using data to understand costs for the episode of care and to negotiate will also be a focus.
About the Speaker:
Andrew Duncan has been a licensed physical therapist since 1991, when he graduated from the State University of New York at Buffalo with his Bachelor of Science in Physical Therapy. Upon completion of entry-level training, he worked as a physical therapist for two years and then completed his post professional Master’s degree in Human Movement Science and became certified in Athletic Training at the University of North Carolina at Chapel Hill. He then underwent board certification by the American Board of Physical Therapy Specialties and became a Sports Certified Specialist in 2002. While working as a manager at rehabilitation corporations and later at an academic health care center, he developed a passion for the business of health care and went on to complete his MBA from the Simon School of Business at the University of Rochester and has also earned his DPT from Boston University. Since 2012, Duncan serves as the Executive Director for Orthopaedics and Rehabilitation at the University of Florida College of Medicine, Co-Director of the UF Health Orthopaedic and Sports Medicine Institute, and also serves as the Executive Director for Rehabilitation and Radiology Services at UF Health Shands Hospitals. He holds an adjunct clinical lecturer appointment in the University of Florida Department of Physical Therapy providing instruction in the Patient and Families First and Professional Issues courses of the DPT curriculum.
The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Similar to Webinar: Oncology Care Model - Introduction (20)
The Medicare Advantage Value-Based Insurance Design (VBID) Model team at the Center for Medicare and Medicaid Innovation (CMMI) and national leaders participated in a discussion around pathways for addressing food and nutritional insecurity at webinar event of our Health Equity Incubation Program on Thursday, March 31, 2022, from 3:00-4:30 PM ET.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted an office hours session on Tuesday, April 5, 2022 from 3:00-4:00 PM ET to discuss the Medicare Advantage Value-Based Insurance Design (VBID) Model and its Hospice Benefit Component. Attendees received an overview of the Model and the CY 2023 application process, and had an opportunity for questions and answers with the Model team.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The ACO REACH Model Team will hosted a health equity webinar on Tuesday, April 5, 2022 from 4:00 - 5:00 p.m. EDT. The ACO REACH Model team highlighted Health Equity provisions added to the ACO REACH Model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This webinar focuses on the new financial policies featured in the ACO REACH webinar. For more information on the financial methodology for the ACO REACH Model that will be transitioned from the Global and Professional Direct Contracting (GPDC) Model, please refer to prior released financial webinars available on the GPDC Model webpage.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center will host a webinar on Thursday, March 10, 2022 from 3:00-4:00 PM ET. During this webinar, presenters will provide a brief review of the recently released Calendar Year (CY) 2023 Requests for Applications (RFAs) for the VBID Model and the Hospice Benefit Component as well as the payment design related to the Hospice Benefit Component of the VBID Model. This session will also offer attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This webinar provided an overview of the Model and the Part D Sponsor application process, as well as included a Q&A session for interested Part D sponsors.
- - -
CMS Innovation Center:
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy:
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted a webinar on Wednesday, March 2, 2022 at 3pm – 4pm ET, during which presenters shared updates on the Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model, the Kidney Care Choices (KCC) Model, and the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. This event was available to the first 1,000 registrants. Presentation materials will be available on the respective model webpages following the session.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Advantage Value-Based Insurance Design (VBID) Model Team hosted an office hours session on Thursday February 3rd, 2022 on the Hospice Benefit Component to provide technical and operational support to interested stakeholders. During this office hours session, presenters answered questions submitted in advance to the VBID Mailbox and offered attendees an opportunity to ask additional questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Has your organization prioritized addressing health inequities? How can a Center for Medicare and Medicaid Innovation (CMMI) Model factor into your organization’s health equity strategy? How can you structure your plan’s benefits to have the greatest impact on underserved communities? What partnership opportunities are available with CMMI?
These are important questions CMMI plans to answer in a new webinar series focused on health equity! CMMI is sponsoring a series of webinars for current and potential Medicare Advantage Organization (MAO) participants in the Value-Based Insurance Design (VBID) Model.
The first webinar in the series provided an overview of the Model’s Health Equity Incubation Sessions effort, articulated a business case for MAOs to leverage VBID Model Components to address health inequities in their member populations, and provided specific guidance and clarification on the full extent of health equity focused flexibilities that fall under the Model’s waiver authority.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMMI, in partnership with Million Hearts® at the Centers for Disease Control and Prevention (CDC), will sponsor a webinar entitled Value-Based Insurance Design, Opportunities to Improve Medication Adherence for Cardiovascular Disease Prevention on October 21, 2021 from 3:00-4:00 PM ET. The webinar will present evidence-based high impact strategies for MAOs to improve care and outcomes for beneficiaries with cardiovascular disease (CVD), including underserved populations.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
As part of a broader partnership, CMMI, the Office of the Assistant Secretary for Health (OASH) and the Administration for Community Living (ACL) are jointly sponsoring a webinar titled, Unleashing the Capabilities of MAOs to Deliver Health Innovation for Older Adults in Underserved Settings on October 7 from 2:30-4:00 PM ET to highlight the emerging, numerous opportunities for MAOs to support beneficiaries in more fully meeting their care needs and goals through novel approaches and services enabled by technology.
The webinar will provide an overview of the data supporting these opportunities and will include a panel of three speakers from payer organizations, each of whom will provide an overview of their experience and results in innovating in the use of technology to address unmet enrollee health needs. Panelists include Mona Siddiqui MD, MPH, Senior Vice President for Enterprise Clinical Strategy and Quality at Humana, who will discuss Humana’s approach to the use of data and predictive modeling to proactively engage and provide care for the highest risk and most vulnerable populations; John Wiecha, Medical Director, Senior Products Division at Point32Health, representing the newly combined organizations of Harvard Pilgrim Health Care and Tufts Health Plan will provide an overview of a recent pilot project to improve dementia care through a digital caregiver support program; and Caesar A. DeLeo, MD, MHSA Vice President & Executive Medical Director Strategic Initiatives, Highmark Health Enterprise Clinical Organization, Highmark BCBS who will discuss Highmark’s experience with telemedicine to approach substance use disorders during the pandemic and results from a five-year data driven program addressing appropriate opiate prescribing through profiling and academic detailing.
The webinar offers attendees the opportunity to gain a better understanding of the evidence and potential of several technology-enabled services in improving access, quality and outcomes of care, including, importantly, for underserved populations and will provide MAOs with insights more broadly on the challenges and solutions in design, implementation and evaluation of innovative and technology-enabled service. MAOs that are considering such innovations who may wish to target the use of technology-enabled and/or other services based on chronic illness and/or Low-Income Subsidy (LIS) status through the VBID Model are encouraged to attend.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The ET3 Model and Medicaid: Opportunities for Alignment webinar provided background on the ET3 Model, discussed the benefits for states of aligning coverage and payment policies with ET3, and explored considerations for states seeking to implement new Medicaid services that align with the ET3 Model. This webinar was intended for state Medicaid agencies, ET3 Model Participants, and other stakeholders interested in learning more about optional Medicaid alignment with the ET3 Model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMS announced an Office Hour event for potential applicants to ask questions ahead of the PCF application deadline.
The PCF Model Team was available to answer questions on key topics including eligibility, payment design and attribution, and more.
You may also refer to the materials from the two PCF webinars held in March: Introduction to PCF and Ready, Set, Apply.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
In order to help ETC Model Participants prepare for the ETC Model, CMS conducted an introductory webinar on Wednesday, December 9, 2020 from 1 p.m. to 2 p.m. The webinar provided an overview of the ETC Model, including:
Participant selection
The Home Dialysis Payment Adjustment
The Performance Payment Adjustment
The ETC Model timeline, including the timing of payment adjustments
Information about how to communicate with CMS about the ETC Model
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Value-Based Insurance Design (VBID) Model team hosted a webinar on January 28, 2021 from 4:00-5:00 PM EST. During this webinar, presenters provided a brief review of the recently released Calendar Year (CY) 2022 Requests for Applications (RFAs) for the VBID Model and the Hospice Benefit Component. This session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Wednesday, March 17, 2021 from 4:00 - 5:00 PM EDT. During this webinar, presenters provided a preview of the Calendar Year 2022 payment design related to the Hospice Benefit Component of the VBID Model. The session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Part D Senior Savings Model and Part D Payment Modernization Model teams hosted a webinar on Tuesday, March 23, 2021 from 1:00 to 2:00 PM EDT. During this webinar, presenters provided an overview of the two Models and the Calendar Year (CY) 2022 application process. The session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMS hosted a virtual office hour session on April 13, 2021 from 4:00-5:00 PM EDT. During this office hour, presenters provided a review of the Calendar Year 2022 payment design and payment rates related to the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model. This session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Emergency Triage, Treat, and Transport (ET3) Model Medical Triage Line Notice of Funding Opportunity (NOFO) webinar provided an overview of the application process and NOFO requirements for implementing 911 medical triage lines. This webinar was intended for those interested in learning more about the ET3 Model’s Notice of Funding Opportunity, which was released March 12.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Primary Care First Model (PCF) Options team provided an overview of the PCF payer partnership. Participants were able to learn about current PCF Model participants, benefits to payer partnership, the framework against which payer proposal alignment will be evaluated, and the payer solicitation process and timeline.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
More from Centers for Medicare & Medicaid Services (CMS) (20)
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Canadian Immigration Tracker March 2024 - Key SlidesAndrew Griffith
Highlights
Permanent Residents decrease along with percentage of TR2PR decline to 52 percent of all Permanent Residents.
March asylum claim data not issued as of May 27 (unusually late). Irregular arrivals remain very small.
Study permit applications experiencing sharp decrease as a result of announced caps over 50 percent compared to February.
Citizenship numbers remain stable.
Slide 3 has the overall numbers and change.
1. Oncology Care Model
Overview and Application Process
Centers for Medicare &
Medicaid Services
Innovation Center (CMMI)
February 19, 2015
2. Innovation at CMS
Center for Medicare & Medicaid Innovation (Innovation Center)
• Established by section 1115A of the Social Security Act (as added by
Section 3021 of the Affordable Care Act)
• Created for purpose of developing and testing innovative health care
payment and service delivery models within Medicare, Medicaid, and
CHIP programs nationwide
Innovation Center priorities:
• Test new payment and service delivery models
• Evaluate results and advancing best practices
• Engage a broad range of stakeholders to develop additional models for
testing
2
3. Innovation Center Models
Goals of Innovation Center models:
• Better care
• Smarter spending
• Healthier people
Models range in focus, including:
• Accountable Care Organizations
• Primary Care Transformation
• Bundled Payments for Care Improvement
• New emphasis on specialty care models
3
4. Oncology Care Background
• One specialty practice area where the Innovation Center aims to improve
effectiveness and efficiency is oncology care.
• More than 1.6 million people are diagnosed with cancer in the United
States each year. Approximately half of those diagnosed are over 65 years
old and Medicare beneficiaries. Cancer patients comprise a medically
complex and high-cost population served by the Medicare program.
• About 50% of patients in oncology practices are Medicare beneficiaries
• The Innovation Center has the opportunity to further its goals of better
care, smarter spending, healthier people through an oncology payment
model.
4
5. Oncology Care Model (OCM)
• The Innovation Center’s Oncology Care Model (OCM) focuses on an
episode of cancer care, specifically a chemotherapy episode of care
• The goals of OCM are to utilize appropriately aligned financial incentives
to improve:
1) Care coordination
2) Appropriateness of care
3) Access for beneficiaries undergoing chemotherapy
• Financial incentives encourage participating practices to work
collaboratively to comprehensively address the complex care needs of
beneficiaries receiving chemotherapy treatment, and encourage the use
of services that improve health outcomes.
5
6. OCM Overview
Episode-based
Payment model targets chemotherapy and related care during a 6-month
period following the initiation of chemotherapy treatment
Emphasizes practice transformation
Physician practices are required to engage in practice transformation to
improve the quality of care they deliver
Multi-payer model
Includes Medicare fee-for-service and other payers working in tandem to
leverage the opportunity to transform care for oncology patients across
the population
6
7. Participants: Physician Practices
Physician practices that are Medicare providers and furnish
chemotherapy may apply to participate in OCM.
Practices are expected to engage in practice transformation to improve the quality
of care they deliver. This transformation is driven by OCM’s 6 practice requirements:
1) Provide 24/7 patient access to an appropriate clinician who has real-time
access to patient’s medical records
Aim to better meet patients’ needs by providing around-the-clock access to a
clinician who can provide real-time, individualized medical advice
7
8. Practice Requirements
2) Use an ONC-certified EHR and attest to Stage 2 of meaningful use (MU)
by the end of the third model performance year
OCM Practices must demonstrate progress by attesting to MU Stage 1 by end of
the first model performance year
3) Utilize data for continuous quality improvement
The Innovation Center will provide participating practices with rapid cycle data
feedback reports to aid in quality improvement. Practices are expected to use
this data to continuously improve OCM patient care management.
8
9. Practice Requirements cont.
4) Provide core functions of patient navigation
Practices are required to provide patient navigation to all OCM patients. The
National Cancer Institute provides a sample list of patient navigation
activities (see Appendix B of the RFA)
5) Document a care plan for every OCM patient that contains the 13
components in the Institute of Medicine Care Management Plan
Plan components include treatment goals, care team, psychosocial support,
and estimated patient out-of-pocket cost (see Appendix A of the RFA for full
list)
6) Treat patients with therapies consistent with nationally recognized clinical
guidelines
Practices must report which clinical guidelines (NCCN or ASCO) they follow for
OCM patients, or provide a rationale for not following the clinical guidelines.
9
10. Participants: Payers
OCM covers Medicare fee-for-service (OCM-FFS) and other payers
(OCM-OP)
• Other payers may include commercial payers (including MA plans), state
Medicaid agencies, or other governmental payers (including Tricare,
FEHBP, and state employee health plans)
Payer participation will drive the geographical scope of the model
• The Innovation Center will publish lists of payers and practices who
submit letters of intent to participate in OCM, and expects other payers to
plan for OCM participation with their associated practices
10
11. Payer Requirements
Operational
• Commit to participation in OCM for its 5-year duration, and begin performance
period within 90 days of OCM-FFS’ performance period
• Sign a Memorandum of Understanding with the Innovation Center
• Enter into agreements with OCM practices that include requirements to provide
high quality care
• Share model methodologies with the Innovation Center
• Provide payments to practices for enhanced services and performance as described
in the RFA
Quality Improvement Measures
• Align practice quality and performance measures with OCM, when possible
Data Sharing
• Provide participating practices with aggregate and patient-level data about
payment and utilization for their patients receiving care in OCM, at regular
intervals
11
12. Target Beneficiary Population:
OCM-FFS
Medicare beneficiaries who meet each of the following criteria
will be included in OCM-FFS.
• Are eligible for Medicare Part A and enrolled in Medicare Part B
• Have Medicare FFS as their primary payer
• Do not have end-stage renal disease
• Are not covered under United Mine Workers
• Receive an included chemotherapy treatment for cancer under
management of an OCM participating practice
12
13. Episode Definition: OCM-FFS
Types of cancer
• OCM-FFS includes nearly all cancer types
Episode initiation
• Episodes initiate when a beneficiary starts chemotherapy
• The Innovation Center has devised a list of chemotherapy drugs that trigger OCM-FFS
episodes, including endocrine therapies but excluding topical formulations of drugs
Included services
• All Medicare A and B services that Medicare FFS beneficiaries receive during episode
• Certain Part D expenditures will also be included
Episode duration
• OCM-FFS episodes extend six months after a beneficiary’s chemotherapy initiation.
• Beneficiaries may initiate multiple episodes during the five-year model performance
period
13
14. Two-Part Payment Approach:
OCM-FFS
During OCM, participating practices will be paid Medicare FFS payments.
Additionally, OCM has a two-part payment approach:
(1) Per-beneficiary-per-month (PBPM) payment
$160 PBPM payment for enhanced services required by OCM that is paid during
the chemotherapy episode
OCM-FFS practices are eligible for the PBPM monthly for each month of the 6-
month episode, unless beneficiary enters hospice
(2) Performance-based payment
Incentive to lower the total cost of care and improve quality of care for
beneficiaries over the 6-month episode period
Retrospective payment that is calculated based on the practice’s historical
Medicare expenditures and achievement on selected quality measures
14
15. Performance-Based Payment:
OCM-FFS
1) CMS will calculate benchmark episode expenditures for participating
practices
• Based on historical data
• Risk-adjusted, adjusted for geographic variation
• Trended to the applicable performance period
2) A discount will be applied to the benchmark to determine a target price for
OCM-FFS episodes
• Example: Benchmark = $100 Discount = 4% Target Price = $96
3) If actual OCM-FFS episode Medicare expenditures are below target price, the
practice could receive a performance-based payment
• Example: Actual = $90 Performance-based payment up to $6
4) The amount of the performance-based payment may be reduced based on the
participant’s achievement and improvement on a range of quality measures
15
16. Risk Arrangement Options:
OCM-FFS
One-Sided
• Participants are NOT responsible
for Medicare expenditures that
exceed target price
• 5-year model duration
• Medicare discount = 4%
• Must qualify for performance-
based payment by end of Year 3
Two-Sided
• Participants are responsible for
Medicare expenditures that
exceed target price
• Option to take downside risk,
beginning in Year 3 (one-sided
risk for Years 1 and 2)
• Medicare discount = 2.75%
• Must qualify for performance-
based payment by end of Year 3
16
17. Benchmarking: OCM-FFS
• Benchmarking will be based on historical Medicare expenditure data
– Based on both practice data and regional/national data as necessary
to increase precision
– Risk adjusted, adjusted for geographic variation
– Trended to applicable performance period
• Participants in the same risk arrangement structure will all receive the
same discount (4% in one-sided risk; 2.75% in two-sided risk)
• Clinical trial participants will be included
17
18. Risk Adjustment: OCM-FFS
OCM-FFS will risk adjust for several factors that affect episodic expenditures.
Possible risk adjustment factors include:
1) Beneficiary characteristics (such as age strata or comorbidities)
2) Episode characteristics (such as whether an episode is the first for that
beneficiary)
3) Disease characteristics (such as cancer type)
4) Types of services furnished (such as provision of radiation therapy or
initiation with an endocrine therapy)
Risk adjustment in Year 1 will be based solely on information available in
claims data. Risk adjustment in subsequent years may incorporate additional
factors not captured in claims data, such as cancer staging.
18
19. Quality Measures: OCM-FFS
Quality measure domains:
1) Clinical quality of care
2) Communication and care
coordination
3) Person and caregiver
centered experience and
outcomes
4) Population health
5) Efficiency and cost
reduction
6) Patient safety
Data sources:
1) Practice-reported
2) Medicare claims
3) Patient surveys
List still in progress – will be finalized
prior to practices signing agreements
19
20. Quality Measures: Performance-Based Payment Subset
See Appendix F of the RFA for full list of preliminary quality measures
Quality Domain
Recommended practice requirement or quality
measurement
NQF # Source
Communication and Care
Coordination
# of ED visits per OCM-FFS beneficiary per episode Blank Claims data
Communication and Care
Coordination
# of hospital admissions per OCM-FFS beneficiary per episode Blank Claims data
Communication and Care
Coordination
% of all Medicare FFS beneficiaries managed by the practice
admitted to hospice for < 3 days
#0216 Claims data
Communication and Care
Coordination
% of all Medicare FFS beneficiaries managed by the practice who
experience ≥1 ED visit in the last 30 days of life
#0211 Claims data
Person-and Caregiver-
Centered Experience and
Outcome
% of OCM-FFS beneficiary face-to-face encounters with the
participating practice in which there is a documented plan of care
for pain AND pain intensity is quantified
#2100
Reported by
practice
Person-and Caregiver-
Centered Experience and
Outcome
Score on patient experience survey (modified CAHPS) Blank
Administered by
CMS contractor
Person-and Caregiver-
Centered Experience and
Outcome
% of OCM-FFS beneficiary face-to-face encounters in which the
patient is assessed by an approved patient-reported outcomes
tool
Blank
Reported by
practice
Person-and Caregiver-
Centered Experience and
Outcome
% of OCM-FFS beneficiaries that receive psychosocial screening
and intervention at least once per episode
Blank
Reported by
practice
20
21. Monitoring and Evaluation:
OCM-FFS
Participant monitoring activities may include:
• Tracking of claims data
• Patient surveys
• Site visits
• Analysis of quality measurement data
• Time and motion studies
• Medical record audits, tracking of patient complaints, and appeals
OCM will employ a non-randomized research design using matched
comparison groups to detect changes in utilization, costs, and quality that can
be attributed to the model
21
22. Learning and Diffusion (L&D)
The OCM Learning System will provide:
• Topic-specific webinars that allow OCM participants to learn from each other
• An online portal to support learning through shared resources, tools, ideas,
discussions, and data-driven approaches to care
• Action Groups in which practices work together virtually to explore critical topic
areas and build capability to deliver comprehensive oncology care
• Site visits to better understand how practices manage services, use evidence-
based care, and practice patient-centered care
• Coaching to help practices overcome barriers to improvement
22
23. Program and Payment Overlap
Shared Savings Programs
Participation in shared savings programs and OCM is allowed
Examples of shared savings programs are: Pioneer Accountable Care
Organizations (ACOs), Medicare Shared Savings Program (MSSP),
Comprehensive Primary Care (CPC)
Other Models
Transforming Clinical Practice Initiative (TCPI): Significant overlap between
TCPI and OCM is not expected, and dual participation in both TCPI and OCM is
not allowed
Care Management Services
Chronic Care Management (CCM) and Transitional Care Management (TCM)
services: Practices that bill the OCM PBPM cannot also bill for CCM or TCM
services in the same month for the same beneficiary.
23
24. Application Process Overview
• All interested practices and payers must submit a Letter of Intent (LOI) by
5pm EDT on April 9, 2015 (payers) or May 7, 2015 (practices)
All LOIs must be emailed to OncologyCareModel@cms.hhs.gov.
Applicants who submit timely, complete LOIs will be sent an authenticated web link
and password to complete an electronic application.
Application instructions and materials available on the OCM website:
http://innovation.cms.gov/initiatives/oncology-care
• Innovation Center will publicly post lists of payers and practices who
submit LOIs
• All applications due 5pm EDT on June 18, 2015
• Participants notified of selection late 2015; OCM begins spring 2016
24
25. Application Materials
PAYER applications will include:
1) Signed Electronic Application Form
2) Implementation Plan Narrative
PRACTICE applications will include:
1) Signed Electronic Application Form
2) Implementation Plan Narrative
3) Financial Plan Narrative
4) Diverse Populations Narrative
5) Letters of Support from other payers or explanations of payer
support, as applicable
25
26. Contact Information
Oncology Care Model
CMMI Patient Care Models Group
OncologyCareModel@cms.hhs.gov
http://innovation.cms.gov/initiatives/Oncology-Care/
26