Oncology Payment Models – Employers Cancer Care Trends report (April 2016) reviews the four key alternative payment in oncology: clinical pathways, Accountable Care Organizations (ACOs), patient-centered oncology medical home (PCOMH), and bundled payments.
The report also reviews the companies and activities utilizing the payment oncology models as well as Employers cancer care trends.
Clinical pathways are based on National Comprehensive Cancer Network (NCCN) guidelines, and are considered by many as the first step toward more comprehensive payment and delivery reform options in oncology.
The Patient-Centered Oncology Medical Home includes a fixed PMPM fee for clinicians that meet a specific set of capabilities and quality standards in their practices.
The Oncology Accountable Care Organizations (ACOs) framework introduces a shared saving model based on overall patient costs and quality of care in addition to FFS reimbursement.
Bundled Payments is a combined payment for a package of clinically related services in a case or episode of care, including multiple services from a particular provider or the services of multiple providers.
Contracting for health services using alternative payment models is increasing, but remained low among employers of all sizes. The report’s Table of Contents:
- Overview – pgs. 4-10
- Bundled Payments – pgs. 11-23
- Oncology Medical Homes – pgs. 24-36
- Oncology ACOs – pgs. 37-39
- Oncology Clinical Pathways – pgs. 40-56
- Employer Cancer Care Trends – pgs. 57-65
Published: April 2016