Five Crucial Aspects of the Oncology Care Model: What You Need To Know

The healthcare industry has been undergoing significant changes, especially in the field of oncology. One of the most talked-about initiatives is the Oncology Care Model (OCM). This model aims to revolutionize the way cancer care is delivered and managed. In this article, we will provide important insights into the Oncology Care Model and help you gain a comprehensive understanding.

The Genesis of OCM

The Center for Medicare and Medicaid Innovation (CMMI) introduced the OCM as a transformative approach to cancer care. The model focuses on improving the quality of care while reducing costs. It’s not merely a payment reform; it’s a comprehensive framework that places the medical oncologist at the forefront of care management.

Financial Implications

One of the most attractive features of the OCM is its financial incentives. Medical practices can earn a management fee of $160 per beneficiary per month, amounting to $960 for a 6-month episode. Additionally, practices have the potential to earn an average of 12% in shared savings, which could be as much as $16,000 per beneficiary per year.

The Role of Integrated Care Teams

Insights on the OCM reveal that the model emphasizes the importance of integrated care teams. These teams are responsible for each aspect of a patient’s care and are crucial for effective care coordination. The model mandates the creation and use of a comprehensive care plan—a roadmap for the patient’s treatment journey.

Data Sharing: A Core Tenet

Data sharing is indispensable in the OCM. Practices are encouraged to make their IT systems interoperable and to use data for continuous improvement in patient care management and quality. The model leverages practice-reported data, patient-reported data, and Medicare claims data for this purpose.

Patient-Reported Outcomes (PROs)

The OCM places a strong emphasis on PROs. These outcomes are critical because they not only enhance patient satisfaction but also improve the overall quality of care. Engaging patients in their healthcare journey is a cornerstone of the OCM.

Guideway Care’s Role in OCM

As a leader in healthcare solutions, Guideway Care is committed to supporting medical practices in navigating the complexities of the Oncology Care Model. Our tools and services are designed to provide you with the answers and help you succeed in this new era of value-based healthcare.

The OCM is not just another healthcare initiative; it’s a paradigm shift in cancer care. A deep understanding of the Oncology Care Model is vital if you’re involved in oncology. For more information, visit Guideway Care today.