{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:46:11Z","timestamp":1782312371132,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005227","name":"Centers for Medicare and Medicaid Services","doi-asserted-by":"publisher","award":["HHSM\u2010500\u20102014\u201000026I"],"award-info":[{"award-number":["HHSM\u2010500\u20102014\u201000026I"]}],"id":[{"id":"10.13039\/100005227","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate whether payment reductions achieved during the Oncology Care Model (OCM) continued after the model ended.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Setting and Design<\/jats:title>\n                    <jats:p>OCM was a voluntary episode\u2010based alternative payment model designed to improve the value of care for Medicare beneficiaries receiving chemotherapy for cancer. Participating practices received $160 monthly care coordination payments and could receive shared savings (or penalties) according to quality and spending goals during 6\u2010month episodes. We extended the OCM regression\u2010adjusted difference\u2010in\u2010differences (DID) payment analysis by 18\u2009months after the model's conclusion to assess sustained effects on total episode payments (TEP) and component Parts A, B, and D, and Part B drug payments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources and Analytic Sample<\/jats:title>\n                    <jats:p>We used Medicare administrative data, model program data, and secondary sources describing market and provider characteristics to analyze 6\u2010month chemotherapy episodes for Medicare fee\u2010for\u2010service beneficiaries initiated during January 2014\u2013July 2015 (baseline), July 2016\u2013December 2021 (performance), and January 2022\u2013June 2023 (post\u2010performance).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>In the 18\u2009months following OCM's end, on average, OCM practices reduced TEP by \u2212$955, driven by significant reductions in Part B payments (\u2212$559). Part B payment reductions were primarily for non\u2010chemotherapy drugs (\u2212$489). Overall payment reductions totaled $328 million. Sustained payment reductions were predominantly among practices adopting two\u2010sided risk; these practices reduced TEP by $3379, including significant reductions in Parts A (\u2212$738), B (\u2212$1370), and D (\u2212$1112) payments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>OCM savings following the model's end were driven by practices that adopted two\u2010sided risk. These sustained payment reductions after OCM's conclusion provided substantial additional savings for CMS, reducing estimated model losses from $639 million to $311 million.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.70121","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T08:57:09Z","timestamp":1778835429000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sustained Impacts in the Oncology Care Model: Medicare Payment Impacts in the 18\u2009Months After the Model's End"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0373-9133","authenticated-orcid":false,"given":"Derek","family":"Hoodin","sequence":"first","affiliation":[{"name":"Abt Global  Rockville Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3355-343X","authenticated-orcid":false,"given":"Sean","family":"McClellan","sequence":"additional","affiliation":[{"name":"Abt Global  Rockville Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Chami","sequence":"additional","affiliation":[{"name":"Abt Global  Rockville Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9101-2810","authenticated-orcid":false,"given":"Caroline","family":"Ly","sequence":"additional","affiliation":[{"name":"Center for Medicare and Medicaid Innovation Centers for Medicare and Medicaid Services  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel A.","family":"Brooks","sequence":"additional","affiliation":[{"name":"Department of Medicine Geisel School of Medicine, Dartmouth Cancer Center  Lebanon New Hampshire USA"},{"name":"Dartmouth Cancer Center  Lebanon New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy L.","family":"Keating","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of General Internal Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen M.","family":"Kummet","sequence":"additional","affiliation":[{"name":"General Dynamics Information Technology  Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Van Doren","family":"Hsu","sequence":"additional","affiliation":[{"name":"General Dynamics Information Technology  Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Shao","sequence":"additional","affiliation":[{"name":"General Dynamics Information Technology  Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Trombley","sequence":"additional","affiliation":[{"name":"Abt Global  Rockville Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Congressional Budget Office \u201cFederal Budgetary Effects of the Activities of the Center for Medicare & Medicaid Innovation \u201dSeptember 28 2023 https:\/\/www.cbo.gov\/system\/files\/2023\u201009\/59274\u2010CMMI.pdf."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.23.0228"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.37765\/ajmc.2021.88795"},{"key":"e_1_2_10_5_1","unstructured":"C.Hopewell A.Cowell A.Heinzerling et\u00a0al. \u201cDrivers of Care Transformation \u201dDecember 16 2024 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Version 6.0 \u201dFebruary 2020 https:\/\/www.cms.gov\/priorities\/innovation\/files\/x\/ocm\u2010cancercodelists.pdf."},{"key":"e_1_2_10_19_1","unstructured":"RTI International; Actuarial Research Corporation \u201cOCM Performance\u2010Based Payment Methodology. 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