Rockville, Md. – In 2020, $200 billion was spent battling cancer. It’s estimated that over 1.8 million individuals will be diagnosed with cancer in 2021 and, since the median age of patients diagnosed with cancer is 66, a substantial portion of the care patients with cancer receive will be covered by Medicare. How can we keep the costs down without reducing the quality of care patients receive? In 2016, the Centers for Medicare & Medicaid Services launched the Oncology Care Model (OCM), an alternative payment model designed to improve the value of care delivered to Medicare beneficiaries with cancer.
An evaluation by Abt Global, Harvard Medical School, the Lewin Group, and other partners found that, overall, OCM was associated with modest but statistically significant episode payment reductions. More specifically, it was associated with small and significant payment reductions for higher-risk episodes relative to the comparison group (but small and significant relative increases in for lower-risk episodes). The savings did not, however, offset Medicare payments for enhanced oncology services and performance-based payments. Additionally, of 22 measures of utilization, 10 measures of quality, and seven measures of care experiences, only five changed differently over time for OCM versus comparison episodes, meaning the differences in outcomes were minimal. The results of the study were published in the Journal of the American Medical Association.
The Evaluation
Abt and our partners—Harvard Medical School, GDIT, The Lewin Group, and Dartmouth Medical Center—assessed the association of OCM with changes in Medicare spending, utilization, quality, and patient experience over the first three years of the model’s implementation. The evaluation compared episodes for Medicare beneficiaries who received care from participating oncology practices with similar patients whose care was provided by carefully matched practices that are not participating. The evaluation is continuing throughout the model’s six-year duration.
Additional Findings
OCM had the greatest impact, relative to the comparison group, in reducing episode payments for non-chemotherapy drugs that are used to manage toxic side effects of chemotherapy (supportive therapy), and in reducing hospitalizations in the last month of life. OCM had no impact in reducing emergency department visits, altering treatment regimens or adoption of costly new treatments, payments for chemotherapy drugs, or hospice care.
“OCM had some impact on higher-risk, high-cost episodes, such as for lung cancer, but this was largely offset by a lack of impact on lower-risk, low-cost episodes, such as for early-stage breast cancer,” said Andrea Hassol, the project director for Abt. “A future model might be more successful by focusing on higher-cost episodes, where there is more potential for financial and quality incentives to make a difference.”
About Abt Global
Abt Global is a global consulting and research firm that uses data and bold thinking to improve the quality of people’s lives. From combatting infectious disease and conducting rigorous program evaluations, to ensuring safe drinking water and promoting access to affordable housing—and more—we partner with clients and communities to tackle their most complex challenges. https://www.abtglobal.com
Contact:
Eric Tischler
eric_tischler@abtassoc.com
(301) 347-5492
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Public Warning: Recruitment Phishing Scam Impersonating Abt Global
Abt Global has become aware of a phishing scheme targeting individuals with fraudulent interview requests and job offers. Abt’s secure IT systems and private applicant information have not been compromised; scammers are impersonating Abt employees, using the company name and branding to mislead and engage potential job seekers in fake recruitment processes. Scammers might reference real job openings or describe fake opportunities that generally match individuals’ professional backgrounds, with the goal of establishing communication and eventually obtaining private financial information to defraud people. The Federal Bureau of Investigation and Federal Trade Commission warn that employment scams such as this are a growing cyber threat. Abt urges anyone who is contacted about employment opportunities to exercise caution and know that: All communication from Abt Global will be from an Abt employee using the @abtglobal.com email domain (e.g., recruiting@abtglobal.com). We do not use third-party recruiters. Abt Global recruiters will only schedule interviews for candidates who have applied for a position through our secure portal. You may view your application status through the applicant portal on Abt Global Careers. No corporate or IT systems at Abt are affected by this scam. The scammers are using Abt’s logo and employee names to impersonate the company. You can directly contact us at recruiting@abtglobal.com with any questions or concerns. Abt is committed to ensuring the safety and security of our community. We caution individuals to be vigilant in protecting personal data and vetting communication with new contacts from any company. Do not respond or provide any personal information if contacted by someone claiming to represent a company to which you did not submit a job application or profile. This scam can be perpetrated against any business and individuals who recognize and trust its name. For information on Abt recruitment practices and policies, please visit our careers page or email recruiting@abtglobal.com. To report a scam, visit: https://reportfraud.ftc.gov/.