It’s no secret that policymakers are working to transform cancer care, shifting the basis of provider compensation from quantity of services to quality of outcomes.
Currently, more than 20% of Medicare fee-for-service payments flow through alternative payment models (APMs), putting the Department of Health and Human Services within reach of their stated goals of 30% by 2016 and 50% by 2018.
One such payment model that will start this summer is the Oncology Care Model (OCM).
Under OCM, cancer centers will be eligible to earn an additional ~$160 per Medicare beneficiary per month, plus shared savings through semi-annual performance based payments. Because many of the OCM requirements and quality measures require changes to current clinic workflow, much attention has been devoted of late to what cancer care centers need to do now to be ready to implement OCM on July 1st.
But at the end of the day, OCM is about patients. So it’s important to understand how this payment model, once implemented, will affect their experience.