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OCM Evolving Best Practices: Lessons to Date

(ACCCBuzz Blog) Feb 17, 2017 - Last June, the Centers for Medicare & Medicaid Services (CMS) announced that nearly 200 physician group practices and 17 health insurance companies had been selected to participate in the Oncology Care Model (OCM), the first oncology-specific alternative payment model (APM) pilot.

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Thomas Marsland, MD (Posted: March 02, 2017)

quotesAt this point the OCM is the only oncology specific APM available. The article I think clearly points out some of the issues that this and probably any APM presents. The coordination of care, the extra time and effort in patient follow up, and the documentation of "quality" measures really do present a burden on physicians and practices. In the end I do believe the patients get better care but if these programs are to be successful we need to be sure that the extra services provided are recognized and adequately compensated. As an aside one needs to point out that unless the practice accepts the two sided risk model the OCM really doesn't qualify as an APM. This also potentially puts the practices at an additional economic disadvantage as they take on more costs to provide the added services with no guarantee that they will be compensated.quotes

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