tci Medicare Compliance & Reimbursement - 2016 Issue 14
By The Numbers: What's The OCM's Potential Impact?
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Article Overview
This article discusses the Oncology Care Model (OCM) in the context of Medicare’s shift toward value-based reimbursement. It summarizes cancer incidence and mortality estimates, the share of cancer care borne by Medicare beneficiaries, and projections about rising cancer-related spending. The piece is aimed at readers tracking oncology payment reform, Medicare policy, and the financial pressures driving changes in cancer treatment delivery.
Why This Topic Matters
It helps readers understand why oncology payment reform matters to Medicare and how broad spending trends in cancer care may influence reimbursement policy and care delivery models.
What You Will Learn
- How the Oncology Care Model fits into Medicare’s broader value-based payment strategy
- Why cancer care is a major driver of Medicare spending
- What population and spending trends are cited as indicators of future cancer care costs
- How shifts in chemotherapy site of service may affect overall treatment costs
Who Should Read This
- Medical coders
- Billing professionals
- Revenue cycle staff
- Practice managers
- Oncology administrators
- Health policy analysts
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