Alternative payment and care-delivery models in oncology: A systematic review Journal Article


Authors: Aviki, E. M.; Schleicher, S. M.; Mullangi, S.; Matsoukas, K.; Korenstein, D.
Article Title: Alternative payment and care-delivery models in oncology: A systematic review
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. © 2018 American Cancer Society
Keywords: health care delivery; affordable care act; cancer; alternative care delivery models; alternative payment models; cancer delivery; value-based cancer care; value-based health care delivery; value-based payment models
Journal Title: Cancer
Volume: 124
Issue: 16
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 2018-08-01
Start Page: 3293
End Page: 3306
Language: English
DOI: 10.1002/cncr.31367
PROVIDER: scopus
PMCID: PMC6110102
PUBMED: 30141837
DOI/URL:
Notes: Review -- Export Date: 4 September 2018 -- Source: Scopus
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  1. Emeline Mariam Aviki
    4 Aviki