Alternative Payment Model Coalition Workshop: Fall 2020

As a result of market pressures to expand value-based healthcare in oncology, the Association of Community Cancer Centers (ACCC) developed the Alternative Payment Model Coalition (APMC) to gain important insights into how alternative payment models (APMs) impact cancer delivery. The APMC focuses primarily on providing education about APMs and other value-based care programs in cancer care.

Originally held during the ACCC 37th National Oncology Conference on Friday, September 18, 2020, this workshop provided an overview of APMs and targeted government and commercial programs relevant to oncology providers. We delved into the key components of program implementation, helped participants better understand their likelihood for success under different risk scenarios, and provided a step-by-step guide to setting up and implementing a new APM program. Workshop facilitators addressed organizational frameworks required to deploy an APM as well as critical strategies for payer negotiation.

The workshop was led by Jessica Turgon and Purvi Bhatt of ECG Management Consultants.

Overview of Alternative Payment Models

While discussing the unique market drivers that are moving the industry from volume to value, we will outline oncology-specific trends—like rising drug costs—that are changing the delivery of cancer care. Then, we will illustrate the value-based continuum through different payment models that range from low to high financial risk, with a strong emphasis on oncology programs.

Implementation: Value-Based Readiness Framework

Evolving from fee-for-service to value-based care requires healthcare organizations to successfully navigate several key transitions. In this section, we will describe each transition category (i.e., domain) and will help you understand your likelihood for success under various levels of financial risk.

Implementation: Roadmap for Success

Executing upon your desired strategy can be challenging. In this section, we provide a step-by-step guide to setting up and implementing your new alternative payment models program.

Case Studies, Concurrent Breakouts: Implementation

Mark Liu, Director, Strategic Initiatives, Mount Sinai Health System

Anne Marie Rainey, MSN, RN, CHC, Compliance and Quality Control Officer, Clearview Cancer Institute

Case Study: Quality Measures and Defining Success

Wendy Andrews, BS, Practice Administrator, The University of Arizona Cancer Center

Workshop Conclusion & Final Thoughts

The ACCC Alternative Payment Model Coalition is supported by Amgen, Merck & Co, Inc., and Takeda.

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