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Utilization of Clinical Pathways Can Reduce Drug Spend Within the Oncology Care Model

Andrew Hertler1, Sang Chau1, Rani Khetarpal1

  • 1New Century Health, Brea, CA.

JCO Oncology Practice
|March 21, 2020
PubMed
Abstract

Insights

Evidence-based clinical pathways can reduce drug spending in value-based care models like the Oncology Care Model (OCM). Voluntary pathway use by a practice significantly decreased drug costs compared to the OCM average.

Area of Science:

  • Oncology
  • Health Economics
  • Value-Based Care

Background:

  • Reducing drug expenditure is a major challenge for practices in the Oncology Care Model (OCM).
  • Evidence-based clinical pathways offer a strategy to lower drug costs while maintaining clinical outcomes.
  • This study investigated the impact of voluntary clinical pathway adoption on OCM cost savings.

Purpose of the Study:

  • To determine if voluntary clinical pathway use can maximize cost savings within the Oncology Care Model (OCM).

Main Methods:

  • A community oncology practice implemented evidence-based clinical pathways for OCM-attributed patients.
  • Real-time monitoring of treatment plans for pathway adherence and drug utilization.
  • Biweekly review of performance metrics by a clinical data governance committee.

Main Results:

  • The median drug spend increase at the practice was 18.6% compared to 34.4% for OCM from Q1 2017 to Q1 2019.
  • The practice's drug spend relative to OCM decreased from 13.5% to 0.1% (P < .001).
  • Pathway adherence increased from 69% to 81% over a 15-month period.

Conclusions:

  • Evidence-based clinical pathways are effective in reducing drug spend within value-based care models.
  • Voluntary adoption of clinical pathways can lead to significant cost savings in oncology care.

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