COA members are regularly in Washington, D.C. and have testified before both chambers of Congress, helping to shape key, bipartisan legislation that impacts community oncology. Currently, COA is working to permanently remove sequestration cuts to cancer drug reimbursement; advance the cancer care payment reform act and CMS demonstration projects; introduce increased transparency and accountability to the 340B program; and more.
Oncology Medical Home
COA has pioneered policy on the Oncology Medical Home (OMH) and payment reform for cancer care. The OMH model is a patient-centered system focused on promoting, delivering and ensuring quality and value in cancer care. Working with the American College of Surgeons Commission on Cancer, OMH accreditation standards have been completed and, to date, 9 pilot practices have been fully accredited.
The Community Oncology Alliance Patient Advocacy Network
The Community Oncology Alliance Patient Advocacy Network (CPAN) was created in recognition of the vital role patients should play in advocating for access to local affordable care for all cancer patients. CPAN is a non-cancer type specific national network representing patients, cancer survivors, caregivers, family members, medical and oncology professionals, and members from the general community.
Community Oncology Pharmacy Association
The Community Oncology Pharmacy Association (COPA) was formed in response to the increasing number of community oncology clinics dispensing oral cancer drugs and ancillary therapies. Financial pressures have begun to separate oral cancer therapy from the point of care and oncologist control, thus interfering with the physician-patient relationship, medication adherence, and more. As a non-profit, COPA is in the unique position of serving as a noncommercial organization dedicated to addressing these and other oncology pharmacy issues, all in the sole interest of patient care.
COA Administrators Network
The Community Oncology Alliance Administrators’ Network (CAN) seeks to enhance communications among practice administrators within community oncology practices, especially relating to operational and reimbursement issues. CAN members regularly share best practices and intelligence on the issues their practices face, focused on increasing operating efficiencies and providing a unified advocacy voice with both Medicare and public payers.
COA Advanced Practice Provider Network
The COA Advanced Practice Provider Network (CAPP) supports oncology nurse practitioners, physician assistants, and other advanced practice providers who play a larger part in care for patients with cancer. The Network consists of a private, peer-to-peer-only information sharing website and listserv; monthly conference calls to review important practice issues and discuss solutions; and opportunities for in- person meetings. The goal of the CAPP Network is to keep oncology advanced practice providers up to date on the latest news and developments, such as patient support strategies; health reform initiatives; the newest drugs and therapies; and strengthening advanced provider leadership roles in practices.
Oncology Care Model Support Network
COA is focused on helping oncology practices succeed and thrive in implementing the Centers for Medicare & Medicaid Services (CMS) Innovation Center’s (CMMI) oncology payment and delivery reform initiative, the Oncology Care Model (OCM). In addition to providing access to experts with deep knowledge of Federal and private reform efforts, COA has organized a peer-to-peer learning network, and is hosting regular calls to providing guidance on the complex challenges practices face with the OCM. COA is also working with practices to develop and share free tools and resources to help OCM practices manage implementation issues. To date, more than 60% of OCM practices are actively participating, including the key oncologists, administrators, and nurses responsible for it. COA is also working closely with the 17 health insurers participating in the OCM to ensure smooth payer-provider communications as the initiative is formed.