We’re pleased to share that on Jan. 1, 2024, we’ll launch a new oncology incentive program.
Enrollment in the existing Cancer Episode Program is no longer available. If you’re currently participating in the program, you can use the information on this page through Dec. 31, 2023.
Boost your practice’s value-based care model and earn rewards when you help reduce the total cost of care. The Cancer Episode Program is a voluntary bundled payment program that modifies the standard fee-for-service payment system with a prospective, episode-based bundled payment (or episode fee) for 4 months of outpatient treatment.
Once your practice is enrolled in the program and the contract amendment is in place, much of the workflow is automated1:
Prospective episode fee: Covers 4 months of outpatient cancer care and includes:
Intravenous/injectable chemotherapy and supportive care drugs: Paid at 100% of the average sales price (ASP). All other services are reimbursed according to your existing fee-for-service contract.
The episode fee is renewable based on the cancer type and stage:
An annual shared savings payment is made if you help reduce the total cost of care by meeting performance measures, shared savings criteria and targets.1
Email cancer_episode@uhc.com