Health Affairs April 22, 2019
Aisha T. Pittman, Wendy Rossi, T. May Pini

In July 2016, the Centers for Medicare and Medicaid Services (CMS) launched a payment model for oncology that aimed to achieve higher-quality care delivered at lower costs. Named the Oncology Care Model (OCM), this specialty model has shown promise, although barriers exist to achieving optimal outcomes for both patients and providers.

Participants include 176 practices and 11 payers, and the program wraps up in June 2021. At that time, CMS will continue to evaluate program successes and shortcomings as it decides whether to expand the OCM and launch new oncology payment models.

Notably, members of Premier’s Bundled Payment Collaborative who are participants in the model have shown success. The majority of physician practice members in Premier’s Collaborative earned...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payer, Payment Models, Physician, Provider, Value Based
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