Designed to increase treatment coordination, and improve quality outcomes and costs for cancer patients, Aetna and Consultants in Medical Oncology and Hematology, PC (CMOH) have launched a first-of-its-kind patient-centered medical home (PCMH) model for oncology.
The collaboration combines evidence-based decision support in cancer care with enhanced personalized services and realigned payment structure.
Researchers found that more than half of all new cancer patients are 65 or older, and most have one or more health condition in addition to cancer. Given their frequency of contact with patients, oncologists are well positioned to help their patients to coordinate care for an underlying heart condition while being treated for prostate cancer. This can help that patient avoid complications of cancer treatment as well as other chronic diseases, Aetna officials say.
Aetna helped CMOH, located in southeast Pennsylvania, build on their success in personalized care by coordinating access to eviti’s evidence-based decision support tool. The tool helps to reduce variability in cancer care by speeding the identification and use of evidence-based, clinical best practices. The tool’s treatment options facilitate coverage under a patient’s benefit plan and are available in real time. Oncologists who use eviti also benefit from a streamlined, automated preauthorization process. The Aetna Innovation Labs first made eviti available last year through iNexx®, a data exchange and applications platform.
CMOH became the first oncology practice to be recognized by NCQA as a Physician Practice Connections®, Patient-Centered Medical Home (PPC-PCMH™) in 2010. To recognize the combination of personalized care and clinical decision support, Aetna combined key financial arrangements of PCMH and oncology programs. CMOH will receive financial recognition for expanded services provided to commercial (non-Medicare) Aetna members.
“The OPCMH model supports clinical decision making at each patient interaction, merges care processes, workflow, documentation and communication. The model is based on continuous improvement, resulting in better care delivery, better patient health, and lower costs,” CMOH officials says.
Source: Aetna , November 14, 2013
Medical Home Neighborhoods: Uplinking Specialists To Create Integrated Systems of Care, a 45-minute webinar on November 20, 2013 webinar, now available for replay examines the trend toward patient-centered medical neighborhoods and effective strategies for building out the neighborhood. Terry McGeeney, MD, MBA, director of BDC Advisors shares his expertise in developing these systems of care.