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May 17, 2026Health Services Research

Sustained Impacts in the Oncology Care Model: Medicare Payment Impacts in the 18 Months After the Model's End

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Authors

DHDerek HoodinSMSean McClellanNCNadine Chami

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Overview

Randomized trial evaluates sustained payment reductions in Medicare beneficiaries receiving chemotherapy, indicating ongoing cost savings.

Key Points

  • This research aims to assess whether the payment reductions achieved during the Oncology Care Model continued for 18 months after its conclusion.
  • Extended regression-adjusted difference-in-differences (DID) analysis for OCM payments.
  • Reviewed Medicare administrative data from January 2014 to June 2023.
  • Focused on total episode payments (TEP) and component payments, including Parts A, B, and D.
  • In the 18 months post-OCM, TEP reduced by an average of −$955, with significant reductions in Part B payments (−$559).
  • Payment reductions totaled $328 million, primarily from practices adopting two-sided risk, which saw TEP drop by $3379.
  • Practices under two-sided risk also reduced Payments in Parts A (−$738), B (−$1370), and D (−$1112).

Cite This Study

Hoodin et al. (2026) studied this question.

synapsesocial.com/papers/6a095c037880e6d24efe1fb4https://doi.org/10.1111/1475-6773.70121
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