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.


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Topics: CMS, Govt Agencies, Insurance, Medicare, Payment Models, Provider, Survey / Study, Trends, Value Based
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