[Skip to Navigation]
Sign In
Viewpoint
October 31, 2019

The Oncology Care Model—Why It Works and Why It Could Work Better: Accounting for Novel Therapies in Value-Based Payment

Author Affiliations
  • 1Tennessee Oncology, Nashville, Tennessee
  • 2OneOncology, Nashville, Tennessee
  • 3Tuple Health, Washington, DC
JAMA Oncol. 2020;6(8):1161-1162. doi:10.1001/jamaoncol.2019.4385

Value-based payment models (VBPMs) have become increasingly prevalent in oncology. The most robust example is the Oncology Care Model (OCM), a cancer-specific, 5-year experimental VBPM implemented by the Center for Medicare & Medicaid Innovation (CMMI). Medical oncologists participating in the OCM are held accountable for the total cost of 6-month episodes of care for patients with cancer receiving antineoplastic therapies. These costs are compared with target costs partially derived from historical cancer care spending measured during a baseline period spanning 2012 to 2015.1 This accountability, along with Monthly Enhanced Oncology Services (MEOS) payments, is intended to foster care coordination to reduce preventable emergency department visits, inpatient hospitalizations, and inpatient postacute care.

Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×