How can we drive transformation in oncology care?

挑战

The CMS Innovation Center’s voluntary 增强肿瘤学模型 (EOM) aims to drive transformation and improve care coordination, 质量, and health outcomes for patients with cancer while also holding oncology practices accountable for total costs of care to make cancer care more affordable and accessible for beneficiaries and Medicare.

The payment structure used for traditional Medicare fee-for-service (FFS) oncology care can potentially create financial incentives that lead to high cost but low value care and a focus on the disease and not the person, 哪个会导致碎片化, 不协调的护理.

The model will test how to improve health care providers’ ability to design cancer care centered on patients, 考虑患者的独特需求, and deliver cancer care in a way that will generate the best possible patient outcomes.

解决方案

趣赢平台 supports the Lewin Group in conducting an independent, 混合方法评价EOM, assessing whether EOM achieves its intended goals of transforming care for cancer patients and practices, 减少医疗保险支出, and maintaining or improving 质量 of care.

趣赢平台 will provide oncology care expertise and contribute to key tasks, including:

• Management of a technical expert panel comprising practicing clinicians who specialize in the cancer types included in the Model
• Primary data collection involving surveys of and interviews with Medicare beneficiaries
• Site visits and surveys of oncology practices participating in the Model.

趣赢平台 will also support analysis of Medicare claims, SEER-Medicare, and state-level cancer registry data.

结果

EOM’s objective is to improve the experience of people and their families living with and surviving cancer. 模型与 癌症的月球探测器 pillars and priorities of supporting patients, 护理人员, 和幸存者, 向所有患者学习, targeting the right treatments for the right patients, 解决不平等问题.

EOM aims to enhance the 质量 of care and coordination for cancer patients while also ensuring that oncology practices remain accountable for the total costs of care. This will make cancer care more affordable and accessible to beneficiaries and Medicare, which are significant priorities for the CMS Innovation Center (CMMI). EOM also includes a focus on improving health equity, another top priority for CMMI. 

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