Episode-based payment for cancer care: A proposed pilot for medicare Journal Article
| Authors: | Bach, P. B.; Mirkin, J. N.; Luke, J. J. |
| Article Title: | Episode-based payment for cancer care: A proposed pilot for medicare |
| Abstract: | The steady introduction of more and more expensive cancer treatments has prompted policy makers to explore alternative payment approaches that might rein in costs. We propose a framework for "episode-based" payment during chemotherapy treatment, which would cover the costs of drugs and their administration for a predefined period of treatment and would have the potential to reduce costs and improve patient outcomes. Using the example of metastatic lung cancer treatment, we describe an approach that Medicare could pursue in order to test our proposal as a pilot program. If successful, the concept could be expanded to encompass longer time periods, other cancer diagnoses, and additional care components. © 2011 by Project HOPE - The People-to-People Health Foundation, Inc. |
| Keywords: | treatment outcome; cisplatin; cancer combination chemotherapy; gemcitabine; paclitaxel; cancer adjuvant therapy; cancer radiotherapy; antineoplastic agent; cancer diagnosis; cancer palliative therapy; carboplatin; multiple cycle treatment; etoposide; lung non small cell cancer; practice guideline; cancer therapy; vinblastine; docetaxel; irinotecan; health care policy; cost control; drug cost; health care cost; medicare; reimbursement; patient care; lung metastasis; pilot study; laboratory test; emergency care; hospital admission; navelbine; pemetrexed; medical fee |
| Journal Title: | Health Affairs |
| Volume: | 30 |
| Issue: | 3 |
| ISSN: | 0278-2715 |
| Publisher: | Project HOPE |
| Date Published: | 2011-03-01 |
| Start Page: | 500 |
| End Page: | 509 |
| Language: | English |
| DOI: | 10.1377/hlthaff.2010.0752 |
| PROVIDER: | scopus |
| PUBMED: | 21383369 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 23 June 2011" - "CODEN: HEAFD" - "Source: Scopus" |
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