Patient-Provider Cost-of-Care Conversations to Prevent Financial Toxicity

Patient-provider cost-of-care conversations are one method to decrease the burden of financial distress. However, providers have identified a lack of confidence in initiating these conversations and time constraints as barriers.

To improve provider confidence and patient satisfaction in four oncology clinics, a practice improvement initiative was conducted to evaluate a patient-provider cost-of-care conversation protocol.

Two physicians and four advanced practice providers implemented the protocol in their clinics. Twenty-three patients participated in cost conversations with their providers during a routine clinic visit. Seventeen patients agreed to complete a follow-up interview.

Provider confidence with initiating cost-of-care conversations improved post-protocol implementation. Provider feedback reflected support for the protocol and new insight into patients' struggles with treatment-related financial toxicity. Patients reported being highly satisfied when discussing treatment costs with their providers. Comments from patients reflected their appreciation that providers took the time to discuss their financial concerns.