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The ASCO Oncology Composite Provider Utilization File: New Data, New Insights.

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  • 1American Society of Clinical Oncology, Alexandria, VA thomas.barr@asco.org.

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This study analyzes oncology practice trends using Medicare data, revealing significant regional differences in physician distribution and practice risks associated with chemotherapy delivery. Understanding these factors is crucial for the evolving oncology landscape.

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Area of Science:

  • Health Services Research
  • Oncology Practice Management
  • Health Economics

Background:

  • Accurate data on oncology service demand, delivery systems, and practice trends are essential for understanding the evolving healthcare landscape.
  • Medicare data is particularly valuable for analyzing oncology practice due to the association between cancer and aging, with Medicare being the primary payer for individuals over 65.
  • Nearly all oncologists serving adult populations are represented in Medicare data, making it a comprehensive resource.

Purpose of the Study:

  • To analyze the oncology practice environment by integrating Medicare data with other public datasets.
  • To investigate supply, demand, and practice trends within the oncology sector.
  • To identify regional variations in physician distribution and quantify practice risks, particularly those related to chemotherapy provision.

Main Methods:

  • Creation of the ASCO Provider Utilization File by combining publicly available datasets, including Centers for Medicare & Medicaid Services (CMS) data.
  • Analysis of physician work performed, regional differences in work production, and the financial risks associated with chemotherapy drug provision.
  • Comparison of oncologist supply by state with physician work relative value units and cancer incidence estimates.

Main Results:

  • Significant regional disparities were observed in the distribution of oncologists relative to the demand for oncology services.
  • The analysis revealed substantial practice risk associated with providing drug therapy to Medicare beneficiaries.
  • There is considerable economic risk tied to the purchase and delivery of chemotherapy, especially amid increasing pressure for value-based care.

Conclusions:

  • The developed ASCO Provider Utilization File provides valuable insights into oncology practice dynamics.
  • Understanding the economic risks and regional variations in oncology care delivery is critical for healthcare policy and practice.
  • The findings highlight the need for strategies to mitigate practice risks and ensure equitable access to oncology services.