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The case for radiotherapy in a Value based environment.

Peter A S Johnstone1,2, Susan Peneguy1, Timothy N Showalter3

  • 1Department of Radiation Oncology, Moffitt Cancer Center & Research Institute, Tampa, FL, United States.

Reports of Practical Oncology and Radiotherapy : Journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
|March 6, 2019
PubMed
Summary
This summary is machine-generated.

Radiotherapy (RT) in the US offers increasing value. Stable costs, improved outcomes, and reduced toxicity demonstrate RT

Keywords:
Health services researchRadiation oncologyValue

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Area of Science:

  • Oncology
  • Health Economics
  • Radiotherapy

Background:

  • Federal reimbursement changes and hypofractionation have decreased radiotherapy (RT) costs since 2005.
  • Stable reimbursement coexists with advancements in intensity-modulated RT (IMRT) and image-guided RT (IGRT).
  • This suggests increasing value of RT for patients and healthcare systems.

Purpose of the Study:

  • To describe the value proposition for radiotherapy (RT) in the United States.
  • To analyze trends in RT costs and reimbursement.
  • To assess the impact of technological advancements on RT value.

Main Methods:

  • Utilized Medicare Physician/Supplier data from 2000-2016.
  • Accessed Enrollment Database (EDB) and Common Medicare Enrollment (CME) databases.
  • Retrieved RT payments per patient for services rendered.

Main Results:

  • Patient costs remained stable between 2003 and 2012, and between 2013 and 2016.
  • Adjustments were made for the 2013 CMS calculation algorithm change.
  • This indicates consistent cost per patient despite evolving treatment modalities.

Conclusions:

  • Radiotherapy value in the US has increased over the last decade.
  • Stable costs combined with enhanced work, better outcomes, and decreased toxicity contribute to this value.
  • RT provides significant value to patients and the healthcare system.