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UnitedHealthcare's Oncology Payment Model Shows Promise
UnitedHealthcare published these findings in the latest issue of Journal of Oncology Practice.
A new cancer care payment model that rewards physicians for focusing on best treatment practices and health outcomes rather than the number of drugs they prescribe resulted in significant cost savings without affecting the quality of care.
The three-year study, conducted by UnitedHealthcare and five medical oncology groups around the country, covered 810 patients with breast, colon and lung cancer, which are among the most common cancers in the United States, according to the National Cancer Institute. The pilot demonstrated that the new cancer care payment model resulted in a 34 percent reduction in medical costs.
The details of the pilot were published today in the peer-reviewed publication Journal of Oncology Practice. The report, "Changing Physician Incentives for Affordable, Quality Cancer Care: Results of an Episode Payment Model," demonstrates the potential effectiveness of new approaches to the current "fee-for-service" payment model for cancer therapy.
Press release: http://bit.ly/VYAg9Y
Source: UnitedHealthcare
Related commentary: http://www.cnbc.com/id/101817100
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Physician-Pharmacy Integration in Cancer Care: Pillars of Medically Integrated Pharmacy
December 16th 2025The foundation of medically integrated pharmacy includes 7 critical pillars. This commentary focuses on the benefits of 3 of those pillars: abandonment, adherence, and access/affordability.
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