Adjusting for Novel Therapy Use Key to Value-Based Programs

Share this content:
Adjusting for Novel Therapy Use Key to Value-Based Programs
Adjusting for Novel Therapy Use Key to Value-Based Programs

THURSDAY, June 7, 2018 (HealthDay News) -- Medicare's approach to adjust for use of novel oncology therapies in value-based oncology programs provides financial protection for some high-use practices, according to a report published in the May issue of Health Affairs.

L. Daniel Muldoon, from Milliman Inc. in New York City, and colleagues evaluated the Centers for Medicare and Medicaid Services' Oncology Care Model (OCM), which partially adjusts medical practices' budgets for their use of novel therapies. In this model, a novel therapy was defined as new oncology drugs or new indications for existing drugs approved by the Food and Drug Administration after Dec. 31, 2014.

Using historical Medicare claims data, the researchers found that the OCM novel therapies adjustment may provide important financial protection for practices. In a simulation performed by the authors, the adjustment reduced the average loss per treatment episode by $758 (from $807 to $49) for large practices that use novel therapies often.

"Lessons from the OCM can have implications for other alternative payment models," the authors write.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

CDC: Many Americans May Have Prediabetes and Not Know It

CDC: Many Americans May Have Prediabetes and Not ...

AMA, CDC launch a campaign to raise awareness about prediabetes

Low-Carbohydrate Diets Linked to Increase in Calories Burned

Low-Carbohydrate Diets Linked to Increase in Calories Burned

Total energy expenditure is greater for those on a low- or moderate-carb diet during weight-loss maintenance

Many Patients Do Not Engage Health Care Provider During MS Relapse

Many Patients Do Not Engage Health Care Provider ...

Only half of patients reported always engaging health care providers

is free, fast, and customized just for you!




Already a member?

Sign In Now »