Alternative payment and care‐delivery models in oncology: A systematic review |
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Authors: | Emeline M. Aviki MD MBA Stephen M. Schleicher MD MBA Samyukta Mullangi MD MBA Konstantina Matsoukas MLIS Deborah Korenstein MD |
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Affiliation: | 1. Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York;2. Division of Gynecologic Oncology, Memorial Sloan Kettering Cancer Center, New York, New York;3. Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York;4. Department of Medicine, Michigan Medicine, Ann Arbor, Michigan;5. Library Services, Memorial Sloan Kettering Cancer Center, New York, New York |
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Abstract: | Rising US health care costs have led to the creation of alternative payment and care‐delivery models designed to maximize outcomes and/or minimize costs through changes in reimbursement and care delivery. The impact of these interventions in cancer care is unclear. This review was undertaken to describe the landscape of new alternative payment and care‐delivery models in cancer care. In this systematic review, 22 alternative payment and/or care‐delivery models in cancer care were identified. These included 6 bundled payments, 4 accountable care organizations, 9 patient‐centered medical homes, and 3 other interventions. Only 12 interventions reported outcomes; the majority (n = 7; 58%) improved value, 4 had no impact, and 1 reduced value, but only initially. Heterogeneity of outcomes precluded a meta‐analysis. Despite the growth in alternative payment and delivery models in cancer, there is limited evidence to evaluate their efficacy. Cancer 2018. © 2018 American Cancer Society. |
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Keywords: | Affordable Care Act alternative care delivery models alternative payment models cancer cancer delivery health care delivery value‐based cancer care value‐based health care delivery value‐based payment models |
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