tci Medicare Compliance & Reimbursement - 2016 Issue 14

By The Numbers: What's The OCM's Potential Impact?

New model could save CMS billions of dollars in wasted cancer drug payments. The newly launched Oncology Care Model (OCM) is yet another value-based payment model that will impact Medicare. But just how much the model will affect Medicare costs and payments remains to be seen — although the possible savings are astronomical. The OCM is part of the U.S. Department of Health and Human Services’ (HHS’) overall goal of transitioning from a fee-for-service (FFS) to a value-based reimbursement paradigm. In January 2015, HHS announced goals of linking 30 percent of traditional Medicare payments to quality-based reimbursement...

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