2. Be Proactive in Adopting New Payment Models
At Augusta Oncology, we knew from the start that we wanted to engage early to both adopt and help shape emerging alternative payment models. We became one of 190 oncology practices from across the country selected for the Centers for Medicare & Medicaid Services Oncology Care Model (OCM).
The OCM enables us to deploy and extend patient-oriented services that address challenges we historically faced to delivering the highest quality care across all patients. In exchange, the OCM provides needed reimbursement for these services, helping keep patients safe while they fight cancer and away from costly hospital visits.
Similar programs are on the horizon for other specialties, and we recommend that practices actively engage them and consider involvement as part of their long-term value-based care success.
3. Prepare for Learning Curves
As oncologists assume holistic responsibility for the quality and cost of patient care, it is important to anticipate the new knowledge and capabilities that must reside in the practice.
Alternative payment models are about much more than adding new forms to an EHR or capturing metrics to populate and submit new reports. At Augusta Oncology, we have had to develop skills and capabilities to answer fundamental questions that support patient safety:
- Who is at the highest risk?
- How can we better support their complete health and well-being, across all conditions and settings of care?
- How can we most effectively guide them when they need it most?
Christopher Cheney is the senior clinical care editor at HealthLeaders.