Centers for Medicare & Medicaid Services' Oncology Care Model: Delivering Higher Value Cancer Care

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Excerpt

The Centers for Medicare & Medicaid Services (CMS) Center for Medicare & Medicaid Innovation (CMMI) was established by section 3021 of the Affordable Care Act and directed to test innovative payment models designed to lower costs and increase quality for Medicare and Medicaid beneficiaries nationwide. CMMI launched the Oncology Care Model (OCM), one of its first specialty physician group practice models, on July 1, 2016. The 5‐year voluntary model includes 195 oncology practices with ∼3,200 oncologists. OCM practices provide care for an estimated 150,000 Medicare beneficiaries annually, or ∼20% of all Medicare Fee‐For‐Service (FFS) beneficiaries receiving chemotherapy as part of their oncology care. The goal of OCM is to financially incentivize oncology practices to provide patient‐centered, coordinated, high‐value, high‐quality cancer care, thus improving care and reducing Medicare expenditures.1 OCM advances the Department of Health and Human Services goals of better care, smarter spending, and healthier people.
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