Pontchartrain Cancer Center (PCC), a leading community oncology practice with multiple locations in Louisiana, recently partnered with Canopy, the first Intelligent Care Platform for oncology, to further transform patient outcomes through continuous care management and implementing a Principal Care Management (PCM) program.
PCM, CCM, EOM. The number of reimbursement and quality care program abbreviations can make your head spin. Every practice wants to know how to capture new reimbursements to maintain and further enhance quality care initiatives. Chronic and Principal Care Management (CCM and PCM) help practices get reimbursed for work they already do, with ~1/3 of billable care time coming from existing work. However, success in these programs requires a team approach across staff, physicians, and patients. With the right technology partner, practices can maximize reimbursement from these programs and optimize operations to run multiple reimbursement programs in parallel.
With a growing need for continuous care delivery, oncology practices are investing more and more resources into remote care without direct reimbursement.
Community oncology practices may see up to a 25% earnings decline in 2023 due in part to the sunset of the Oncology Care Model (OCM), a value-based care program created by CMS and now succeeded by the Enhancing Oncology Model (EOM). There are several key challenges associated with this earnings shift including regulatory changes to drug revenue, increasing costs, and higher standards for outcome-based care. And to add to the complexity, EOM doesn’t start until July 2023, meaning many practices were left with a one-year gap to shoulder patient-care investments and operations with limited or no reimbursement.
Oncology practices today need comprehensive technology solutions that are versatile in their appeal and agile enough to handle unique needs across different departments.
Improving patient care is the ultimate goal of any oncology-focused practice or facility. However, empowering staff to focus almost exclusively on patient care is far easier said than done. Post-pandemic staff is suffering from the highest rates of burn-out in history, with over 55% of front-line healthcare workers reporting mental and physical exhaustion. 62% of healthcare staff have also reported mental health repercussions which can lead to decreased presenteeism at work.
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