Physician administration of chemotherapy is less expensive, more compact and patient friendly than hospital outpatient sites. Lee Newcomer, vice president for oncology at UnitedHealthcare, said the payer undertook the pilot because oncology costs were jumping as much as 20 percent annually. It is designed to reimburse participating oncologists upfront for an entire cancer treatment program, shifting away from fee for service to a bundled or episode payment approach.ĭr. UnitedHealthcare's program is aimed at improving the quality of care for patients with breast, colon, and lung cancers. They are among 200 pilots that America's Health Insurance Plan members are participating in around the country to test medical home, bundled payments and accountable care organization models. WellPoint plans are involved in several multi-payer medical home pilot programs, while UnitedHealthcare is working with five medical oncology groups across the country to advance a cancer payment model. WellPoint and UnitedHealthcare are among private payers that have been testing new models to improve patient outcomes and lower costs, even before the Centers for Medicare and Medicaid Services released rules around new payment and care delivery approaches.
0 kommentar(er)
