Skip to main content

Oncology payment reform to achieve real health care reform.

Publication ,  Journal Article
McClellan, MB; Thoumi, AI
Published in: Journal of oncology practice
May 2015

Cancer care is transforming, moving toward increasingly personalized treatment with the potential to save and improve many more lives. Many oncologists and policymakers view current fee-for-service payments as an obstacle to providing more efficient, high-quality cancer care. However, payment reforms create new uncertainties for oncologists and may be challenging to implement. In this article, we illustrate how accountable care payment reforms that directly align payments with quality and cost measures are being implemented and the opportunities and challenges they present. These payment models provide more flexibility to oncologists and other providers to give patients the personalized care they need, along with more accountability for demonstrating quality improvements and overall cost or cost growth reductions. Such payment reforms increase the importance of person-level quality and cost measures as well as data analysis to improve measured performance. We describe key features of quality and cost measures needed to support accountable care payment reforms in oncology. Finally, we propose policy recommendations to move incrementally but fundamentally to payment systems that support higher-value care in oncology.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Journal of oncology practice

DOI

EISSN

1935-469X

ISSN

1554-7477

Publication Date

May 2015

Volume

11

Issue

3

Start / End Page

223 / 230

Related Subject Headings

  • Reimbursement Mechanisms
  • Quality Indicators, Health Care
  • Quality Improvement
  • Policy Making
  • Oncology & Carcinogenesis
  • Medical Oncology
  • Managed Competition
  • Humans
  • Health Care Reform
  • Fee-for-Service Plans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
McClellan, M. B., & Thoumi, A. I. (2015). Oncology payment reform to achieve real health care reform. Journal of Oncology Practice, 11(3), 223–230. https://doi.org/10.1200/jop.2015.004655
McClellan, Mark B., and Andrea I. Thoumi. “Oncology payment reform to achieve real health care reform.Journal of Oncology Practice 11, no. 3 (May 2015): 223–30. https://doi.org/10.1200/jop.2015.004655.
McClellan MB, Thoumi AI. Oncology payment reform to achieve real health care reform. Journal of oncology practice. 2015 May;11(3):223–30.
McClellan, Mark B., and Andrea I. Thoumi. “Oncology payment reform to achieve real health care reform.Journal of Oncology Practice, vol. 11, no. 3, May 2015, pp. 223–30. Epmc, doi:10.1200/jop.2015.004655.
McClellan MB, Thoumi AI. Oncology payment reform to achieve real health care reform. Journal of oncology practice. 2015 May;11(3):223–230.

Published In

Journal of oncology practice

DOI

EISSN

1935-469X

ISSN

1554-7477

Publication Date

May 2015

Volume

11

Issue

3

Start / End Page

223 / 230

Related Subject Headings

  • Reimbursement Mechanisms
  • Quality Indicators, Health Care
  • Quality Improvement
  • Policy Making
  • Oncology & Carcinogenesis
  • Medical Oncology
  • Managed Competition
  • Humans
  • Health Care Reform
  • Fee-for-Service Plans