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Toward Accountable Cancer Care

Toward Accountable Cancer Care VIEWPOINT ANCER ACCOUNTS economically incentivized to de- and coordinating care with PCPs and for over 500 000 liver more care, be it surgeries, che- palliative care specialists. deaths and nearly motherapies, or radiation frac- Accountable cancer care should $125 billion in tions, rather than evidence-based link guideline-concordant care to C medical costs annu- care. Fee-for-service payments also shared savings from bundled pay- ally, second only to heart disease. do not encourage better symptom ments. The few cancer bundles have While interventions arising from the management or care coordination been proposed only within nar- Affordable Care Act aim to im- among cancer specialists and be- rowly defined episodes of chemo- prove care quality and reduce cost tween cancer specialists and PCPs. therapy administration, limiting growth for patients with heart dis- Uncoordinated cancer care results in their potential to induce better symp- ease, reforms directed toward can- overuse of unnecessary—and un- tom management and coordinated 4,5 cer care have received compara- deruse of necessary—tests and treat- care. Rather, CCGs should be com- tively little attention. ments, avoidable hospitalizations, pensated under a bundled payment Research and innovation have led and gaps in the management of co- system, receiving a single payment to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

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/lp/american-medical-association/toward-accountable-cancer-care-UoPuFYI50B
Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.635
pmid
23699890
Publisher site
See Article on Publisher Site

Abstract

VIEWPOINT ANCER ACCOUNTS economically incentivized to de- and coordinating care with PCPs and for over 500 000 liver more care, be it surgeries, che- palliative care specialists. deaths and nearly motherapies, or radiation frac- Accountable cancer care should $125 billion in tions, rather than evidence-based link guideline-concordant care to C medical costs annu- care. Fee-for-service payments also shared savings from bundled pay- ally, second only to heart disease. do not encourage better symptom ments. The few cancer bundles have While interventions arising from the management or care coordination been proposed only within nar- Affordable Care Act aim to im- among cancer specialists and be- rowly defined episodes of chemo- prove care quality and reduce cost tween cancer specialists and PCPs. therapy administration, limiting growth for patients with heart dis- Uncoordinated cancer care results in their potential to induce better symp- ease, reforms directed toward can- overuse of unnecessary—and un- tom management and coordinated 4,5 cer care have received compara- deruse of necessary—tests and treat- care. Rather, CCGs should be com- tively little attention. ments, avoidable hospitalizations, pensated under a bundled payment Research and innovation have led and gaps in the management of co- system, receiving a single payment to

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jun 10, 2013

References