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Updates to the ASCO Patient-Centered Oncology Payment Model.

Jeffrey C Ward1, Brian Bourbeau2, Alexander L Chin3

  • 1Swedish Cancer Institute, Edmonds, WA.

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Summary

The Patient-Centered Oncology Payment (PCOP) model advances cancer care through provider-payer collaboration and updated payment structures. This model emphasizes scalable, sustainable solutions for improved oncology practice and quality measurement.

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Area of Science:

  • Health Services Research
  • Oncology Care Delivery
  • Health Economics

Background:

  • The past decade has seen significant innovations in oncology care delivery and payment models.
  • Initiatives like the oncology medical home and Medicare Oncology Care Model have been developed.
  • Lessons learned from demonstration projects highlight the need for scalable, sustainable, and collaborative models.

Purpose of the Study:

  • To present an updated framework for a Patient-Centered Oncology Payment (PCOP) model.
  • To foster true collaboration between payers and providers in cancer care.
  • To outline a scalable and sustainable approach to oncology payment and care delivery.

Main Methods:

  • ASCO (American Society of Clinical Oncology) gathered input from physicians, administrators, payers, and employers.
  • The PCOP model was updated to incorporate current work on provider-payer collaboration, oncology medical home, and clinical pathways.
  • The model integrates common quality measurement, performance methodology, and payment structures.

Main Results:

  • The updated PCOP model emphasizes provider-payer collaboration and value-based care.
  • It recognizes the importance of clinical pathways and standardized quality measurement.
  • The model provides a framework for consolidated payments and performance methodology in oncology.

Conclusions:

  • The PCOP model offers a comprehensive approach to transforming oncology care delivery and payment.
  • It promotes alignment between providers and payers to advance cancer care.
  • ASCO will continue to support the PCOP model through further development of standards, measures, and technology.