Medscape November 24, 2021
Roxanne Nelson, RN, BSN

The Oncology Care Model (OCM) led to modest savings per episode of care but, when factoring in monthly and performance-based payments, resulted in an overall loss of more than $315 million to Medicare, according to one of the most thorough studies of the program.

The analysis, published on November 9 in JAMA, found that per episode savings of $297 during the first 3 years of the model’s implementation were offset by $704 in payments for enhanced services to 201 participating practices. When considering the $160 monthly and performance-based payments, the authors estimated a net loss of $315.6 million between 2016 and 2019. In addition, the researchers found no significant differences in the use of most services, quality, or patient experience.

...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Insurance, Medicare, Payment Models, Provider, Survey / Study, Trends, Value Based
Ilant Health Raises Extended Seed Round of $5.5M for Obesity Management Platform
Physician-led ACOs are the most effective at reducing care costs: report
CVS, inVio creating South Carolina ACO through REACH
‘Capital Will Follow Where There’s Predictability’: Ideal Option CEO Connects Value-Based Care and Enterprise Value
Value-based care adoption is a journey, not a destination. And the map you follow can make all the difference

Share This Article