Summer 2021

The pairing of advanced data acquisition and analytics with an experienced team of oncology subspecialists drives the OPN Care Management program, providing a sophisticated array of services for oncology  providers and payers.

Oncology providers must navigate how to achieve both clinical and financial success in cost-effective value-based care while also abiding by a narrow definition of appropriate compliance. Traditional fee for service models often results in excessive, aggressive and cost ineffective treatment. However, Alternative Payment Models (APM) can result in under-treatment that is non-compliant with Standard of Care (SOC) guidelines as set forth by the National Comprehensive Cancer Network (NCCN). OPN has developed a robust Care Management program to support oncologists in their day-to-day patient care that assists them in operating at an optimal level of clinical and cost efficiency. 

Care Management Services encompass programs which address all major cost factors in oncology care. This includes drug treatment (including immunotherapy, chemotherapy and hematology), genetic testing and radiation treatment. These services are flexible enough to allow for implementation across all payment models. A a strong technological base and guided by clinical expertise supports OPN’s advanced approach to Care Management. The OPN Cares portal is the Care Management front end. It serves as a cutting-edge data driven system that analyzes and flags key data points for review. The OPN review panel consists entirely of practicing oncology subspecialists, providing an up-to-date, on the ground perspective of patient care. By using these clinical and technological elements, OPN Care Management Services can provide a comprehensive understanding of the care being provided and alternative approaches that are not only just as successful but also more cost-effective.

New Care Management Portal

OPN Cares is the front end portal for the data collection system that drives OPN’s Care Management Services. 

This newly enhanced and updated system streamlines the collection and processing of data. Once data is captured, OPN Cares flags potential clinical trial opportunities and compassionate use cases. Other wrap-around OPN Care Management Services programs include Clinical Review Services, Patient Navigation, Patient Support Services and Analytics/Benchmarking.

Spotlight: URAC Accreditation

OPN is proud that its Care Management Services program is URAC Accredited.

The Utilization Review Accreditation Commission (URAC) establishes quality standards for the healthcare industry. The comprehensive URAC Accreditation process provides an assessment of a healthcare organizations’ systems, processes, and performance. The accreditation is considered a high mark of distinction for healthcare organizations that demonstrate a commitment to quality and accountability.

For further information, please contact:
Adam Goldston (email)
Chief Growth Officer
OPN Healthcare