Improving Cancer Outcomes with Value-Based Care and Reimbursement

At last month’s Community Oncology Alliance Payer Exchange Summit, a panel of speakers discussed how improving cancer outcomes and spending through value-based care and reimbursement requires a plethora of different strategies. The panel, entitled “New Strategies for Insurance Benefit Designs: From the Simple to the Complex,” noted that a one-size-fits-all approach can leave smaller practices behind.

According to Mary Cafree, “Some value-based models, including those unveiled by the Center for Medicare and Medicaid Innovation (CMMI), may be too risky for small practices that are essential to care delivery in rural areas. This was true of the OCM, and oncologists have warned that the successor model, the Enhancing Oncology Model (EOM), poses even greater risk to small practices.”

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(Source: AJMC, October 29^th, 2022)