Novel system proposed for accountable cancer care

Novel system proposed for accountable cancer care
A novel structural and payment-reform system is proposed to foster accountable cancer care, according to a viewpoint piece published online April 29 in JAMA Internal Medicine.

(HealthDay)—A novel structural and payment-reform system is proposed to foster accountable cancer care, according to a viewpoint piece published online April 29 in JAMA Internal Medicine.

Noting that relatively little attention has been given to reducing the costs of in the Act, Justin E. Bekelman, M.D., from the University of Pennsylvania in Philadelphia, and colleagues propose a model of accountable cancer care.

The authors note that three principles of reform should drive accountable cancer care: aligning provider incentives toward patient-centered coordinated care; fostering guideline-concordant care; and provision of feedback to patients, providers, and payers. To meet these goals, Cancer Care Groups (CCGs) could be established, which would formalize the multidisciplinary ethos of tumor boards and include panels of surgical, radiation, and medical oncologists. These panels should coordinate care with primary care providers and palliative care specialists. CCGs should be compensated under a bundled payment system, based on the diagnosis and stage of disease, after adjustment for factors such as and comorbidities. The bundle would include costs of surgery, chemotherapy and irradiation, management of symptoms and comorbidities, and for those with metastatic disease. This approach would reduce cost growth through incentives for specialists to discontinue unnecessary treatment and tests and shift to lower-cost medications when appropriate. To promote high-quality care, CCGs should be evaluated according to their provision of cancer care concordant with established guidelines.

"The CCG represents a new structural and payment-reform vehicle that has the potential to drive toward accountable cancer care," the authors write.

More information: Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Accountable care at Academic Medical Centers: Lessons learned

Feb 02, 2011

Academic Medical Centers (AMCs) must adjust and adapt to the new health care reform laws or risk marginalization in the new health care arena, according to a New England Journal of Medicine Perspective article published online ...

Multimodality approach needed to reengineer health care

Feb 20, 2013

(HealthDay)—A multimodality approach focusing on reengineering the U.S. health care system may provide a way to improve quality and reduce costs, according to a viewpoint published in the Feb. 20 issue ...

Recommended for you

Birth season affects your mood in later life

Oct 19, 2014

New research shows that the season you are born has a significant impact on your risk of developing mood disorders. People born at certain times of year may have a greater chance of developing certain types of affective temperaments, ...

User comments