Toward Accountable Cancer Care

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Dow Division of Health Services Research RECENT PUBLICATIONS

Toward better use of bone scans among men Early impact of Medicare accountable care organizations on cancer surgery outcomes Herrel, LA PubMed Herrel LA


wellness programs and outpatient care. Thus, in 2016 Methodist launched its CareFirst ambulatory care centers, providing immediate care and other services beyond the hospital walls. But there are other important trends in today s health care arena, such as shifts toward Population Health, Accountable Care Organizations and bundled payment


The Accountable Care Guide For Dermatologists page 10 ©2016 Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan, L.L.P. I.urpose Of The Accountable Care Guide P Accountable Care Organizations ( ACOs ) are emerging as a leading model to address health care

Provider Perceived Colorectal Cancer Screening Barriers

Provider Perceived Colorectal Cancer Screening Barriers: Results from a Survey in Accountable Care Organizations *Hongmei Wang 1, Abbey Gregg , Fang Qiu2, Jungyoon Kim , Lufei Young3 and Jiangtao Luo2 1Department of Health Services Research and Administration, Omaha, USA 2Department of Biostatistics, Omaha, USA

State Health Plan Board Meeting: ACO Update and Move to Value

Jan 22, 2015 A Provider s Journey toward Accountable, Value-based Care Delivery Develop Infrastructure EMR Staffing NCQA cert Implement New Processes and Models Care coordination Care management Capitation/Global ACO/ACO-like structures Care delivery pilots Value-based payment pilots Deliver Value-Based Care PHM initiatives

Global oncology trend report - United States House of

Mar 24, 2015 Innovations in cancer care and implications for health systems EXECUTIVE SUMMARY At the same time, Accountable Care Organizations and healthcare organizations that are covered by the 340b Drug Discount Program have expanded their presence in oncology, moving more patient care from physician offices to hospital outpatient facilities.

The impact of provider payment reforms and associated care

Implicit payment reforms through care coordination: Accountable care organizations (ACOs), oncology care model (OCM), patient-centred oncology medical home (PCMH), oncology pathways, Other cancer care delivery models under the umbrella of payment reforms Studies that do not report the interventions of interest in cancer care

Improving Oncology Quality Measurement in Accountable Care

currently used for accountable care are inadequate to assess processes and outcomes of care associated with the increasing sophistication of cancer-, stage-, and individual tumor-specific therapies. More work is needed to ensure that measure sets include meaningful measures to evaluate accountable care performance.

American Cancer Society

women at average risk for breast cancer. Cancer Treatment & Patient Care Provide multi-channel resource navigation options. Implement interventions aimed at reducing barriers to care for individuals with lower income and lower education levels. The American Cancer Society is available 24 hours a day, seven days a week to help cancer

Cancer Care Denied Report - Alliance for Proton Therapy Access

accountable A growing number of cancer patients and their families are taking the fight for a fair, timely insurance process public, demanding that the balance of power and medical decision making be shifted back toward patients and their physicians. They are calling for decision-makers including state insurance commissioners and companies with


cancer care in the United States, ASCO makes the following Moving Toward High-Quality, Value-Based Cancer Care amples of APMs include accountable care organi

Oncology Payment Reform to Achieve Real Health Care Reform

that support higher-value cancer care. Feasible Accountable Care Payment Models in Oncology Successfully implementing accountable care payment in oncol-ogy is challenging. Shifting toward person-based payments means that physicians must assume new risk. Although oncol-ogists face financial risks today many unreimbursed and

Noncommunicable diseases: the slow-motion disaster

noncommunicable diseases. Heart disease, cancer, diabetes, and chronic respiratory diseases, once linked only to affluent societies, are now global, and the poor suffer the most. These diseases share four risk factors: tobacco use, the harmful use of alcohol, unhealthy diets, and physical inactivity. All four lie

National Cancer Strategic Framework 2017 - Home ICCP Portal

toward achieving the best possible outcomes in our fight against cancer. I am confident that this Strategy together with the recently approved Policies on Breast and Cervical Cancer, the National Policy Framework on Palliative Care as well as other related initiatives will collectively improve cancer prevention and control in the country.

Utilizing time-driven activity based costing to understand

toward accountable care organizations (ACOs) and bundled payments as mechanisms to mitigate our growing health care expenditures, however, health systems must become proficient at systematically bending their cost cures.10 The first step in accomplishing this goal is understanding costs on a detailed level.

REFLECTION Organizational Leadership For Building Effective

Effective Health Care Teams ABSTRACT The movement toward accountable care organizations and patient-centered medi-cal homes will increase with implementation of the Affordable Care Act (ACA). The ACA will therefore give further impetus to the growing importance of teams in health care.

General Population, But Not Among Diagnosed Men

Nov 21, 2016 Cancer Care. ing of eligible men and the move toward obser- delivery reforms toward accountable care,20 spe-cialists who treat prostate cancer continue to be

Summary of the Technical Expert Panel for Oncology

example, many accountable care organizations (ACOs) give oncologists and other providers an opportunity to share in the savings when fee-for-service payments are lower than a target level, and some ACOs place providers at (limited) financial risk if total payments are higher.

Cancer Program Annual Report - VA Puget Sound Health Care System

Cancer Program Annual Report. 5. The VA Puget Sound Health Care Systemumor T Board is held every Wednesday from 1:00 p.m. to 2:00 p.m. in Building 100, Room BD-152.


How we deliver care and how we pay for it are inextricably linked. We are moving away from the fragmented fee-for-service model of payment toward an accountable care model to focus on improving healthcare and outcomes to optimize people s health. With this shift, a well-integrated delivery system is critical.

Transforming Oncology Payment - ASCO

With nearly 40,000 members, ASCO is committed to improving cancer care through scientific meetings, educational programs and peer-reviewed journals. ASCO is supported by its affiliate organization, the Conquer Cancer Foundation, which funds ground-breaking research and programs that make a tangible difference in the lives of people with cancer.

What Does the Affordable Care Act Mean for You? T

more evidence-based care (Moy, Aber-nethy, & Peppercorn, 2012). You may already be involved in or affected by some of these activities. Personally, I am excited by these chang - es. Having been in cancer care since the mid-1970s, I can attest to the fact that we delivered cancer care within an irrational, broken healthcare system. We have long

AIM Insights Value-Based Oncology

feasibly collected and properly reflect the key aspects of cancer care. The Reality of New Payment Models Closely tied to value measurement is the design and administration of new payment models. Emerging models include: Accountable care organizations Oncology medical homes Bundled payments

Bundled Payments Come to Cancer Care

Indeed, the cost of cancer care continues to skyrocket, in part because of more costly advanced treatments being used, according to the National Institutes of Health. Medical costs for cancer are anticipated to reach $158 billion in 2020, an increase of 27% over 2010, the NIH states.

Next Generation of Palliative Care - California Health Care

Oct 10, 2011 attention to care management, disease management, transition management, and integration of care across health systems, payers, and patient populations. Emerging efforts to strengthen medical homes and create accountable care organizations are the leading edge of a larger trend toward improving coordination of care across the board.

The Essence of Nursing: Knowledge and Caring

the care they provide, particularly regarding the required knowledge component of nursing care and technical competencies needed to meet patient care needs and focus on the caring. This chapter explores the knowledge and caring of nursing prac-tice. Both must be present, and both are important for quality nursing care. Content includes the effort

Oregon Health System Transformation CCO Metrics 2019 Final Report

access to care, and holding Os accountable to key metrics, is a cornerstone of Oregon s health system transformation. In fact, an independent third-party evaluator, enter for Health Systems Effectiveness at Oregon Health and Sciences University, found incentive measures to be one of


up care one needs after surviving cancer (which can include preventive care and screenings). Rural cancer clinics are usually few and far between, and cancer treatment can require many appointments.12 There is also a serious shortage of specialists. Only 5.6% of the country s oncologists provide care in rural areas where 15% of the American

Searching for the value of accountable care organizations in

Cancer November 15, 2018 4287 Editorial Searching for the Value of Accountable Care Organizations in Cancer Care Parth K. Modi, MD, MS1; Brent K. Hollenbeck, MD, MS1; and Tudor Borza, MD, MS2 Accountable care organizations (ACOs) represent the major policy effort of the Affordable Care Act to transition medi - cal care toward a value-based

Moving Toward Value-Based Care While Increasing Transparency

Health care costs are growing, and we must work together to keep health care affordable. Employers and consumers carry the weight of a heavy portion of health care costs. Creative solutions include increasing cost transparency and moving toward fee-for-value reimbursement. 25 @DrBobMorrow

Standardizing Palliative Care and Oncology Integration Using

Over the past five years, Moffitt Cancer Center has implemented a number of initiatives to better integrate palliative care services with cancer care. Among Moffitt s cornerstone efforts to standardize the integration of palliative care services were the development of patient screening tools and treatment pathways.

Care Coordination Measures Atlas - AHRQ

Dec 12, 2011 Head And Neck Cancer Integrated Care Indicators Jefferson Scale of Attitudes toward Physician-Nurse Collaboration people are held accountable. 9 10 11 :

RE: CMS-5527-F, Medicare Program; Specialty Care Models to

Oct 20, 2020 efforts to shift the health care system toward the provision of more accountable, coordinated care. As detailed in our Sept. 16, 2019 letter, we support CMS development of models that could help further these efforts to transform cancer care delivery. However, we are very concerned about several elements of the RO APM 0395.htm Preventing Chronic

cluding encouraging cross-sector collaborations for care delivery through accountable care organizations (ACOs). ACOs are ac-countable for the quality and total costs of care for a defined popu-lation. ACOs began in Medicare as a way to deliver high-quality, co-ordinated care; states have also expanded this model to Medicaid (2,3).

Identifying Opportunities for Health Care Delivery System Reform

plan and provider accountable care partnerships showed a clear trend toward longer term, less adversarial relationships. This same study showed a willingness on the part of both parties to adopt customized arrangements that reflect the different needs and

Aetna Story: Building a healthier world

In 2013, we continued to advance the shift toward better integrated, accountable care models. More than 1.5 million medical members** get care through the spectrum of our value-based networks, including 32 accountable care organization collaborations, 112 patient-centered medical homes, 112 Medicare Advantage collaborations and 88

Achieving Accountable Cancer Care -

Achieving Accountable Cancer Care By Michael L. Blau, Esq. A national consensus is emerging that the rate of growth in healthcare spending is no longer sustain-able. Employers and patients are chaffing at rising healthcare costs, which are crowding out other impor-tant federal and state budgetary priorities, and are

U.S. CHAMBER OF COMMERCE Annual Health Care Summit

and quality of care, and encouraging consumers to use the information available to them to make better health care decisions. Thomas J. Donohue, president and CEO of the U.S. Chamber of Commerce, kicks off the Chamber s 2nd Annual Health Care Summit emphasizing the role of the private sector in driving health care innovation and reform.

Accountable Care Organizations

Breast Cancer 75.7 Adherence to Quality Guidelines Adults receive about Hlf dd 48.6 58 64.7 68 Hyperlipidemia COPD Hypertension Coronary Artery Disease Prenatal Care Half recommended care 54.9% = Overall care 54.9% = Preventive care 53.5% = Acute care 56 1% = Chronic care 10.5 45.4 0 255075 100 Alcohol Dependence Diabetes Mellitus % of

Treatment and care towards the end of life

May 20, 2010 Treatment and care towards the end of life: good practice in decision making 04 General Medical Council Paragraph(s) Page Care after death 83-87 42 The wishes and needs of the bereaved 84 43 Certification, post-mortems and referral to a coroner or procurator fiscal 85-87 43 Training and audit 88-89 44 Neonates, children and young people 90-108 45