OHC participates in multiple APMs, including three featured in the Addendum to the Alternative Payment Model Framework White Paper. At this time, OHC has 21% of payments tied to APMs in Categories 3 and 4; OHC has 63% of payments tied to APMs in categories 2C through 4.
In order to reach our goal of having 50% of payments tied to APMs in categories 3 and 4 by 2018, OHC has applied to the CMS Oncology Care Model, with letters of support from Aetna, Anthem and Humana. In order to expand even further in application of APMs, OHC will reach out to state agencies to develop an oncology-specific APM for Medicaid.
Practice goals (% payments tied to APMs by category)
Year Category 2C-4 Categories 3-4
2016 63% 21%
2018 85% 50%
2020 90% 60%
OHC believes that achievement of these goals requires a shared commitment from practices, employers, managed care organizations and government agencies. OHC will do its part, as a committed partner of the HCP LAN, to develop and promote value-based care in government and private health plans.