Marcus Neubauer, MD
For the past 18 months, 187 oncology practices across the United States have been participating in the Oncology Care Model (OCM), the Center for Medicare & Medicaid Innovation (CMMI) program designed to provide higher-quality, more coordinated cancer care at the same or lower cost to Medicare beneficiaries. In this complex program, treatment is divided into 6-month episodes of care, and practices receive quarterly installments of claims data from the Centers for Medicare & Medicaid Services (CMS). Practices are only just receiving their first reconciliation reports from CMS for treatment delivered at the very outset of the OCM. The first few reconciliation reports will be critical, as they will indicate whether a practice can save money and still provide quality care― both of which must occur to succeed in this model.
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