Medscape July 7, 2021
Roxanne Nelson, RN, BSN

The Oncology Care Model (OCM) was the first cancer-specific alternative payment model (APM) for Medicare recipients as well as Medicare’s first APM for outpatient specialty medicine. However, it has not been a success.

After 4 years, the OCM actually led to a $155 million net loss to Medicare, and physician participation in the program also declined. During the past 4 years, the number of practices dropped to 138 (71.9%) from the 192 original practices in 2016.

These results are “disappointing,” say the authors of a viewpoint published in JAMA Oncology.

But they also “illustrate the unique challenges of APMs in medical specialties for which care standards become more complex, and costlier, in the precision medicine era,” they add.

“To succeed,...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Payment Models, Physician, Provider, Value Based
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