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OCM is a multi-payer model that includes Medicare fee-for- service (OCM-FFS) as well as commercial payers working together to transform care for all patients living with cancer . Although there are differences between OCM-FFS and other payers in certain areas, such as specific payment amounts and episode definition, the approach to practice transformation is consistent across all payers in OCM .
The GPDC Model began in 2020 with an initial implementation period for organizations that wanted to align beneficiaries to meet the minimum beneficiary requirements prior to the start of the first performance year . Six performance years will follow, beginning in April 2021 .
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The AHRQ QIs are one measure set, based on administrative data that can be used to evaluate the quality of clinical services . Most of the QIs focus on health care outcomes rather than rates of processes of care followed . The measures, their extensive documentation, and associated codes for SAS® and Windows® reside in the public domain and are available for download at no cost to the user .
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