How is an OBM program different than currently available cost control programs?
OBM focuses on reducing overall oncology costs rather than shifting costs. For example, an OBM will take into account and interact with your provider network, hematology oncology services, radiation oncology services, and chemotherapeutic drugs to achieve overall cost savings for your organization. Other ‘cost control’ programs, like claims scrubbing, disease management, or pathways are narrowly focused on a single component within oncology benefit management. These methods merely shift costs within the health plan’s overall oncology cost spectrum.
