Oncology Care Model is a six-year episode-based payment model designed to drive improvements and lower costs in cancer care. This model tests the effects of better care coordination, improved access to practitioners and appropriate clinical care on health outcomes and costs of care for beneficiaries with cancer who receive chemotherapy.
Timeline
The program will no longer initiate new episodes as of Dec. 31, 2021, with potential that an evolution of the program, called Oncology Care First, will launch as a future replacement.
How we can help
Whether you’re a current OCM participant or want to learn more about oncology episodes of care, we can help you:
- understand the top financial drivers across all episodes, including drug utilization;
- analyze key aspects of your end-of-life care, including hospice and inpatient service utilization; and
- compare episode volumes and key metrics about your patient population across different cancer types.
We offer
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Opportunity Analysis for Bundled Payments
Providers need a deep understanding of their population before considering participation in an alternative payment model or alignment with providers who have at-risk arrangements. DataGen simulates episodes of care for every healthcare provider in the country to help them understand volume, expenditures and utilization in an episode framework for BPCIA and CJR programs.
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Performance Period Monitoring for Alternate Payment Model
We work with providers across the country participating in alternative payment models. DataGen provides key insight and consultation to help hospitals, health systems, post-acute and other healthcare providers evaluate new programs and monitor how effectively their strategies are working to ensure financial stability and high quality care.