2017
DOI: 10.1377/hlthaff.2016.1303
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Innovative Oncology Care Models Improve End-Of-Life Quality, Reduce Utilization And Spending

Abstract: Three models that received Health Care Innovation Awards from the Centers for Medicare and Medicaid Services (CMS) aimed to reduce the cost and use of health care services and improve the quality of care for Medicare beneficiaries with cancer. Each emphasized a different principle: the oncology medical home, patient navigation, or palliative care. Comparing participants in each model who died during the study period to matched comparators, we found that the oncology medical home and patient navigation models w… Show more

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Cited by 60 publications
(70 citation statements)
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“…The most common cancer sites researched were colorectal cancer (n = 12 [86%]) and breast cancer (n = 6 [43%]). Ten studies assessed cost‐effectiveness: 8 found that PN programs were cost‐effective, and 2 did not observe cost‐effectiveness for the PN intervention . Five articles assessed only the cost of implementing a PN program and did not assess the return on investment (Table ).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The most common cancer sites researched were colorectal cancer (n = 12 [86%]) and breast cancer (n = 6 [43%]). Ten studies assessed cost‐effectiveness: 8 found that PN programs were cost‐effective, and 2 did not observe cost‐effectiveness for the PN intervention . Five articles assessed only the cost of implementing a PN program and did not assess the return on investment (Table ).…”
Section: Resultsmentioning
confidence: 99%
“…Specifically, a 2‐year PN program generated a net income of $81,238.7 . PN programs also significantly reduced medical treatment costs and potentially provided cost savings to the health care payer . Achieving a cancer diagnostic resolution decreased medical costs by $511 to $2080 per patient with breast cancer and by $1192 to $9708 per patient with colorectal cancer .…”
Section: Resultsmentioning
confidence: 99%
“…Model components included care coordination, increased access to providers through call lines and extended hours, and evidence‐based diagnosis and treatment pathways. Participation in the COME HOME model was associated with decreased spending and fewer hospitalizations in the last 30 days of life for Medicare beneficiaries who died . The model reduced costs primarily through decreasing hospital admissions and referral to emergency care.…”
Section: The Us Health Care System and Models Of Care Deliverymentioning
confidence: 97%
“…Supportive and palliative care at the end of life (EOL) is a core component of health systems . In advanced stages of cancer care, evidence suggests that early referral to nonhospital care and limiting overly aggressive treatments in the last months before death improves patients' and caregivers' outcomes by increasing quality of life (QoL) and reduces the burden on the healthcare system . Evidence also suggests that the introduction of opioid therapy as a means of pain management lowers healthcare use and is associated with a better quality of death …”
Section: Introductionmentioning
confidence: 99%