Medicare spending, utilization, and quality in the oncology care model

RU Osarogiagbon, S Mullangi, D Schrag - JAMA, 2021 - jamanetwork.com
Health care costs are an issue of national importance. Health expenditures in the US are
projected to reach $6.19 trillion by 2028, or 19.7% of gross domestic product, an estimated …

Trends in total and out-of-pocket cost of cancer care around the first year of diagnosis for the four most common cancers among privately insured nonelderly adults …

YCT Shih, Y Xu, C Bradley, SH Giordano, JC Yao… - 2021 - ascopubs.org
5 Background: To provide a comprehensive evaluation of the trends in treatment pattern,
total and out-of-pocket (OOP) costs of cancer care for in the period between 2-month before …

Trends in Medicare utilization and reimbursement for hematology/oncology procedures from 2012 to 2023: A geriatric oncology perspective

J Conic, T Reske - Aging Medicine, 2024 - Wiley Online Library
Objectives Given the scarcity of data exploring reimbursement trends in the field of
hematology/oncology, we sought to characterize these trends for common procedures in this …

Drivers of Medicare spending: A 15-year review of radiation oncology charges allowed by the Medicare physician/supplier fee-for-service program compared with …

M Mokhtech, JH Laird Jr, S Maroongroge, D Zhu… - International Journal of …, 2021 - Elsevier
Purpose In 2019, the Centers for Medicare and Medicaid Services proposed a new radiation
oncology alternative payment model aimed at reducing expenditures. We examined …

Unraveling the high cost of end-of-life care: An oncology care model experience.

JR Hoverman, CB Taniguchi, J Hayes, K Eagye… - 2019 - ascopubs.org
11534 Background: Simply put, cancer care in the last 30 days of life (30DAY) is often
aggressive and expensive without best meeting the wishes and needs of patients and …

The patient‐driven payment model: A missed opportunity for patient‐centered cancer care

S Singh, HD Lum, J Kutner… - Journal of the American …, 2021 - Wiley Online Library
Hospitalized older patients with advanced cancer who were discharged to a skilled nursing
facility (SNF) for rehabilitation are unlikely to receive future cancer treatment, have high 30 …

Wide variation in payments for Medicare beneficiary oncology services suggests room for practice-level improvement

JD Clough, K Patel, GF Riley, R Rajkumar… - Health …, 2015 - healthaffairs.org
In recent years many policy makers have recommended alternative payment models in
medical oncology in order to reduce costs and improve patient outcomes. Yet information on …

National cancer expenditure analysis in the United States Medicare population, 2013.

ES Ruiz, K Seiger, A Mostaghimi, C Schmults - 2019 - ascopubs.org
6647 Background: Cancer is the second leading killer in the United States, but there is no
comprehensive analysis evaluating total cancer costs by cancer and treatment modality …

Aggressive care near the end of life for cancer patients in Medicare accountable care organizations

H Kim, NL Keating, JN Perloff… - Journal of the …, 2019 - Wiley Online Library
OBJECTIVES To compare aggressiveness of end‐of‐life (EoL) care for older cancer patients
attributed to Medicare Shared Savings Programs with that for similar fee for service (FFS) …

Strategies to Achieve High-Value Oncology Care—A Beginning

HC Sox, EM Basch, D Berwick - JAMA oncology, 2018 - jamanetwork.com
Cancer care is costly for individuals and in the aggregate. In one study, insured patients with
advanced cancer reported median monthly out-of-pocket treatment expenditures of $592. 1 …