Proposed Framework for Patient-Centered Outcomes-Based Measures in Alternative Payment Models
February 11th 2021Synthesis of multistakeholder perspectives from a mixed-methods study identifies guiding characteristics for outcomes-based quality measures in future, more patient-centered alternative payment models.
Read More
Experts Issue Recommendations for Improving Health Care, Costs in 2021
February 1st 2021With the ongoing coronavirus disease 2019 pandemic, a rising number of uninsured Americans, and a new Democratic president and Senate majority, 2021 is shaping up to be a dynamic year for health care policy.
Read More
Aaron Lyss on What the Next Oncology Payment Model Should Include
June 11th 2020Benchmarking, accountability, bilateralism, and scalability are the 4 parameters critical to successful alternative payment models in oncology, said Aaron Lyss, MBA, director of strategy and business development at Tennessee Oncology.
Watch
Dr Michael Diaz Outlines Important Lessons Learned From the OCM
April 15th 2020Networking with other practices, sharing ideas, and getting physicians involved in the process can aid community practices moving to alternative payment models (APMs), said Michael Diaz, MD, president of Community Oncology Alliance.
Watch
Learning From the Oncology Care Model to Move APMs Forward
March 4th 2020Implementing alternative payment models in oncology is a complicated process. The models are not perfect, especially the Centers for Medicare and Medicaid Services’ Oncology Care Model (OCM), although several panelists saw improvements in the proposed successor model, Oncology Care First (OCF).
Read More
5 Findings From the November 2019 Issue of AJMC®
November 15th 2019The November issue of The American Journal of Managed Care® (AJMC®) included studies on a kidney disease intervention, perceptions of alternative financing models, population health screening, and more. Here are 5 findings from research published in the issue.
Read More
Medicare Advantage Plan Representatives’ Perspectives on Pay for Success
This study examined how Medicare Advantage plan representatives perceive the alternative financing model Pay for Success and its potential to address members’ social risk factors.
Read More
Lessons From the Field: How Practices Are Succeeding Under OCM
September 18th 2019As rising drug costs continue to take up a larger portion of the total cost of care, practices in the Oncology Care Model find themselves in control of a shrinking portion of total costs, according to anecdotes from an academic medical center and a community-based practice during the National Comprehensive Cancer Network’s Policy Summit held September 12 in Washington, DC.
Read More
Dr Jeroen Jansen Outlines Challenges With Incorporating Novel Elements in Value Assessment
August 27th 2019Jeroen Jansen, PhD, lead scientific advisor, Open-Source Value Project, Innovation and Value Initiative, discusses challenges with incorporating more novel concepts of value into value assessment.
Watch
Dr Jeroen Jansen Discusses Value-Assessment Questions Posed by Curative Treatments
August 14th 2019With the increasing prevalence of more expensive, potentially curative therapies, there comes the question of can we still afford expensive interventions that are that valuable, explained Jeroen Jansen, PhD, lead scientific advisor, Open-Source Value Project, Innovation and Value Initiative.
Watch
Dr Brett McQueen: Multiple-Criteria Decision Analysis Can Aid in Reimbursement, Coverage Decisions
August 7th 2019R. Brett McQueen, PhD, assistant professor, Department of Clinical Pharmacy, Pharmaceutical Outcomes Research, Skaggs School of Pharmacy and Pharmaceutical Sciences at the University of Colorado, explains how multiple-criteria decision analysis be used to aid in coverage and reimbursement decisions for high-cost, innovative therapies.
Watch
Dr Shalom Kalnicki on the Importance of a Radiation Oncology APM
August 3rd 2019As new treatments and technologies evolve, it is very important that radiation oncologists have a new alternative payment model for reimbursement, said Shalom Kalnicki, MD, FASTRO, FACRO, professor and chairman, radiation oncology, Montefiore Einstein Center for Cancer Care and Albert Einstein College of Medicine.
Watch