Some Practices Now Are Taking Two-Sided Risk in CMS’s OCM
July 1, 2019
As CMS’s Oncology Care Model (OCM) starts its third year this month, participants who spoke with AIS Health say it has been an overall positive experience. Developed by the CMS Center for Medicare & Medicaid Innovation (CMMI), the five-year voluntary pilot is aimed at providing better quality and more coordinated cancer care for Medicare fee-for-service beneficiaries, as well as other payers, while at a lower cost. So far, all participants have been in one-sided risk arrangements, but now, for the first time, some practices are participating in a two-sided risk model. A recent Avalere Health analysis of the OCM’s first year, though, shows that many providers would owe recoupments to CMS under either of the two available two-sided risk models.