Alternative Payment Models

Innovative Payment to Scale Up Access to Medications for Opioid Use Disorder

July 16, 2020

Article

Bundled payments offer promise as a supplement to existing payment models to promote scaling up of opioid use disorder treatment using buprenorphine.

Aaron Lyss on What the Next Oncology Payment Model Should Include

June 11, 2020

Video

Benchmarking, 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.

OCM, Other APM Timelines Extended Due to COVID-19

June 03, 2020

Article

CMS Administrator Seema Verma announced the update today in a blog post in Health Affairs.

Dr Michael Diaz Outlines Important Lessons Learned From the OCM

April 15, 2020

Video

Networking 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.

The Patient-Driven Payment Model: Addressing Perverse Incentives, Creating New Ones

March 30, 2020

Article

The Patient-Driven Payment Model addresses perverse incentives in Medicare’s previous payment system for skilled nursing facilities, but it includes new incentives that may be problematic.

Learning From the Oncology Care Model to Move APMs Forward

March 04, 2020

Article

Implementing 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).

Outcome Measures for Oncology Alternative Payment Models: Practical Considerations and Recommendations

December 11, 2019

Article

This review presents a set of evidence-based outcome measures for oncology alternative payment models, drawing on evidence from existing and proposed quality measures.

5 Findings From the November 2019 Issue of AJMC®

November 15, 2019

Article

The 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.

Medicare Advantage Plan Representatives’ Perspectives on Pay for Success

November 12, 2019

Article

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.