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Payers

OPCMH can generate value for your health plan. The OPCMH model coordinates and streamlines care, creating improved quality of care for patients, and significant efficiencies in the delivery of care throughout the entire course of treatment.

New Value Proposition for Cancer Care

Value is defined as both quality and cost—and results from:
  • Incorporation of high reliability principles into the process of care
  • Defining and reducing unnecessary utilization
  • Data transparency and accountability
  • A rapid learning system

Understanding and implementing these new values allows practices, systems and payers to provide improved care—through a proven better business model.

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Proven Methods for Providers and Payer Relations

OPCMH is a proven methodology to enhance interactions among patients, care providers and between payers and providers.  

OPCMH can serve as:
  • An oncology “plug in” to PCMH or PCMH Neighbor to bridge the gap between specialist and primary care providers
  • A PCMH bridge with ACOs, clinically integrated networks and other structural entities
  • A platform for pricing oncology bundled or episode of care pay arrangements
  • A sustainable business models for community or institutionally based practices—without the need for a third party vendor
  • A framework for the improvement of cancer care delivery by all oncology care providers

The Impact of OPCMH: Demonstrated Outcomes—Quantifiable Results

OPCMH is not a theory. It is a model that has been fully implemented, tested and validated.  Even with increased patient volume, Dr. Sprandio’s practice, CMOH, has demonstrated significant reductions in patient emergency room visits and hospital stays.

  • 29% increase in CMOH patient volume since 2009—with the same number of physicians and a decrease in office staff
  • 51% drop in emergency room visits
  • 68% drop in in-patient admissions
  • 95% adherence to NCCN Guidelines for first line therapy

The benefits of the OPCMH model have been demonstrated in terms of improved health care, lower costs, and patient experience.  OPCMH is a solution to reduce total cancer costs.

Oncology Management Services (OMS) can create an oncology solution for your health plan.