Robert “Bo” Gamble
The thought of joining the Oncology Care Model (OCM) didn’t scare Tracey F. Weisberg, MD. She had participated in the Community Oncology Medical Home (COME HOME) program, an earlier model of patient-centered care, so OCM seemed like a natural next step for her practice, New England Cancer Specialists of Scarborough, Maine. Both programs aimed to focus practices on payment based on value of care provided rather than volume of treatment. After adopting strategies to increase the value of care at New England Cancer Specialists through COME HOME, Weisberg considered her practice ready for the OCM, and she greeted the pilot value-based payment model with optimism.
Figure. Key Components of Oncology Care Model
However, physicians and practice administrators have stated that succeeding with the OCM has been a challenging mixture of technological difficulty and cultural adaptation. Although some say that it has worked out for them, others doubt that it can succeed for all practices. At the same time, groups such as the American Society of Clinical Oncology and COA have lobbied for collaborative models of care that are better tailored to oncology practice and include more input from oncologists themselves.
“They’re expecting to change the way healthcare’s been delivered for the past 52 years,” Gamble said. “They can’t do that if they’re not thoughtful and careful and cautious in helping people make this transformation in their thought process.”
Table. Requirements for Participation in the OCM1
The 4 Types of Participant
By analyzing 35 responses to a survey they conducted, Chaudhry, Tuple Health’s CEO, and Roschuni, the startup’s lead researcher and study designer, identified 4 OCM participant types. Practice members’ mind-sets ranged from doubtful to eager, the duo found. It’s important to understand these states of mind, Roschuni said, because “each one will have a different path [of success] to value-based care.” From dubious to pathway (forward-thinking), the predominant attitudes represented “the least engaged to the most happy,” Chaudhry said.
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