Updates to the ASCO Patient-Centered Oncology Payment Model

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.