The Affordable Care Act and Cancer Care Delivery

被引:28
作者
Brooks, Gabriel A. [1 ,2 ]
Hoverman, J. Russell [3 ,4 ]
Colla, Carrie H. [2 ]
机构
[1] Dartmouth Hitchcock Med Ctr, Lebanon, NH 03766 USA
[2] Dartmouth Inst Hlth Policy & Clin Practice, Lebanon, NH 03766 USA
[3] Texas Oncol, Dallas, TX USA
[4] US Oncol Network, The Woodlands, TX USA
关键词
Affordable Care Act (ACA); cancer care; oncology care model; oncology patient-centered medical homes; CHANGING PHYSICIAN INCENTIVES; MEDICARE; ASSOCIATION; OUTCOMES; COSTS; ORGANIZATIONS; DISCUSSIONS; PATHWAYS; PROGRAM; HEALTH;
D O I
10.1097/PPO.0000000000000259
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The Affordable Care Act (ACA) has reformed US health care delivery through insurance coverage expansion, experiments in payment design, and funding for patient-centered clinical and health care delivery research. The impact on cancer care specifically has been far reaching, with new ACA-related programs that encourage coordinated, patient-centered, cost-effective care. Insurance expansions through private exchanges and Medicaid, along with preexisting condition clauses, have helped more than 20 million Americans gain health care coverage. Accountable care organizations, oncology patient-centered medical homes, and the Oncology Care Model-all implemented through the Center for Medicare & Medicaid Innovation-have initiated an accelerating shift toward value-based cancer care. Concurrently, evidence for better cancer outcomes and improved quality of cancer care is starting to accrue in the wake of ACA implementation.
引用
收藏
页码:163 / 167
页数:5
相关论文
共 42 条
  • [1] The Implications of the 2010 Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act on Cancer Care Delivery
    Albright, Heidi W.
    Moreno, Mark
    Feeley, Thomas W.
    Walters, Ronald
    Samuels, Marc
    Pereira, Alissa
    Burke, Thomas W.
    [J]. CANCER, 2011, 117 (08) : 1564 - 1574
  • [2] [Anonymous], NTR
  • [3] [Anonymous], 2017, WASHINGTON POST
  • [4] Where Does Oncology Fit in the Scheme of Accountable Care?
    Barkley, Ronald
    [J]. JOURNAL OF ONCOLOGY PRACTICE, 2012, 8 (02) : 71 - 74
  • [5] Acute Hospital Care Is The Chief Driver Of Regional Spending Variation In Medicare Patients With Advanced Cancer
    Brooks, Gabriel A.
    Li, Ling
    Uno, Hajime
    Hassett, Michael J.
    Landon, Bruce E.
    Schrag, Deborah
    [J]. HEALTH AFFAIRS, 2014, 33 (10) : 1793 - 1800
  • [6] Centers for Medicare & Medicaid Services, HLTH CAR INN AW
  • [7] Centers for Medicare & Medicaid Services, 2017, MED CAR CHOIC
  • [8] Centers for Medicare & Medicaid Services, ONC CAR MOD
  • [9] Centers for Medicare & Medicaid Services, 2016, SHAR SAV PROGR NEWS
  • [10] Health Care Costs for Patients With Cancer at the End of Life
    Chastek, Benjamin
    Harley, Carolyn
    Kallich, Joel
    Newcomer, Lee
    Paoli, Carly J.
    Teitelbaum, April H.
    [J]. JOURNAL OF ONCOLOGY PRACTICE, 2012, 8 (06) : 75S - 80S