Innovative Oncology Business Solutions (IOBS) was recently awarded a 3-year $19.8M innovation award by the Medicare & Medicaid Innovation Center for the COME HOME project. This project aims to improve health outcomes, enhance patient care experiences and significantly reduce the cost of care for an estimated 10,000 cancer patients across 7 states. Cost savings of $33.5 million are estimated over the course of the project from reduced hospital admissions and improved care coordination.  This pioneering project can provide critical information to support potential CMS/CMMI bundled payment oncology pilots and emerging hospital-physician practice affiliation models like ACOs.

The 8 Key Elements of the COME HOME model

• Best practice care using Oncologist-developed clinical pathways for triaging, diagnosis and treatment
• Timely sharing of clinical data across multiple practice electronic health record    systems (EHR)
• Multi-disciplinary, active physician directed team-based care coordination using NPs, RNs, LPNs, pharmacists, med-techs, care coordinators and trained first responders
• Active disease management through education and online content
• Enhanced access to care team and scripted decision trees for triaging
• Enhanced care for acute situations to stop unnecessary ED usage
• Shared financial budgeting model
• IT infrastructure for bundled payments across controlled group practices     through comparative cost benchmarks

The Net.Orange Care Management Solution

Our solution enables a network of healthcare entities, such as oncology practices, to collaborate and implement a “virtual” patient-centered medical home (PMH). Patients are enrolled on “care plans” that represent the care guidelines at each step of the process from intake -> treatment -> transition of care, thereby implementing a truly integrated care delivery model.  Outcomes against care plans are continually tracked and real-time alerts can be routed to each care team member to indicate a goal violation or a gap in care.

Key features include:

• Improved care coordination through real-time automated pathway triggers
• Clinical pathway management model to support delivery of care & monitoring of  treatment responses
• Analytical dashboards for real-time monitoring of key financial, quality and compliance metrics
• Minimally disruptive connectivity and clinical integration with physician practice