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Oncologist Blazes Trail Toward Bundling

Jacqueline Fellows, for HealthLeaders Media, February 6, 2014

The head of a multi-physician oncology practice and patient-centered medical home explains how his practice is "capable of signing any payment methodology that any payer could dream up."

The transition from volume-based care to value-based care is churning up anxiety about revenue and reimbursements among many physician leaders.

John Sprandio, MD, FACP, is not one of them.

Sprandio, founder and leader of Consultants in Medical Oncology and Hematology (CMOH), believes his three-location, eight-physician oncology practice in Drexel Hill, PA., is ready.

"I feel that we are prepared to respond to any changes in the payment system… I have no preference," says Sprandio. "We're capable of signing any payment methodology that any payer could dream up. I am not kidding."

Sprandio's confidence stems from years of fine-tuning the physician workflow at his practice to establish efficiencies for the doctors and reduce variability for the patients. His confidence also comes from CMOH's status as the first oncology practice to be certified as a Level 3 patient-centered medical home by the National Committee for Quality Assurance.

That certification came in 2010, and was sort of incidental. Sprandio says he was not working toward PCHM status, rather he was working toward the goal of giving his patients consistently good care.

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