Alternative payment and care‐delivery models in oncology: A systematic review
Open accessAbstract
Rising US health care costs have led to the creation of alternative payment and care‐delivery models designed to maximize outcomes and/or minimize costs through changes in reimbursement and care delivery. The impact of these interventions in cancer care is unclear. This review was undertaken to describe the landscape of new alternative payment and care‐delivery models in cancer care. In this systematic review, 22 alternative payment and/or care‐delivery models in cancer care were identified. These included 6 bundled payments, 4 accountable care organizations, 9 patient‐centered medical homes, and 3 other interventions. Only 12 interventions reported outcomes; the majority (n = 7; 58%) improved value, 4 had no impact, and 1 reduced value, but only initially. Heterogeneity of outcomes precluded a meta‐analysis. Despite the growth in alternative payment and delivery models in cancer, there is limited evidence to evaluate their efficacy. Cancer 2018. © 2018 American Cancer Society .
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The scoping review's findings and recommendations were consistent with those from a systematic review of alternative payment models for cancer care.
“its findings and recommendations were consistent with those from a systematic review of alternative payment models for cancer care [25].”
From Translating economic evaluations into financing strategies for implementing evidence-based practices (2021) · cites this paper as [25]
Commercial funders consider payment models proprietary and tend to only release details when the payment model showed economic benefits.
“However, there remains considerable information asymmetry between payors and providers in the healthcare marketplace: Providers may resist sharing the true costs of care to avoid scrutiny from funders, and commercial funders consider payment models proprietary and tend to only release details when the payment model showed economic benefits [25].”
From Translating economic evaluations into financing strategies for implementing evidence-based practices (2021) · cites this paper as [25]
There remains considerable information asymmetry between payors and providers in the healthcare marketplace.
“However, there remains considerable information asymmetry between payors and providers in the healthcare marketplace: Providers may resist sharing the true costs of care to avoid scrutiny from funders, and commercial funders consider payment models proprietary and tend to only release details when the payment model showed economic benefits [25].”
From Translating economic evaluations into financing strategies for implementing evidence-based practices (2021) · cites this paper as [25]
Providers may resist sharing the true costs of care to avoid scrutiny from funders.
“However, there remains considerable information asymmetry between payors and providers in the healthcare marketplace: Providers may resist sharing the true costs of care to avoid scrutiny from funders, and commercial funders consider payment models proprietary and tend to only release details when the payment model showed economic benefits [25].”
From Translating economic evaluations into financing strategies for implementing evidence-based practices (2021) · cites this paper as [25]
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Vijayakumar, S., Matrana, M. R., & Vijayakumar, V. (2026) · Current Oncology · doi:10.3390/curroncol33100637
Kumru, S., & Or, Z. (2026) · Health Policy · doi:10.1016/j.healthpol.2026.105809
- Authors
- Aviki, E. M., Schleicher, S. M., Mullangi, S., Matsoukas, K., & Korenstein, D.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Michigan Medicine (US)
- Corresponding author
- Aviki, Emeline M.
- ORCID
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2018-04-06
- Volume
- 124
- Issue
- 16
- Pages
- 3293-3306
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- PMC
- PMC6110102
- OpenAlex
- W2796292681
- Cited by
- 60
- References
- 35
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 13 · 2020: 14 · 2019: 4 · 2018: 2
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P30 CA008748)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- alternative payment models, models of care, cancer care, bundled payment, accountable care organizations, patient-centered medical home, reimbursement, health care costs, health care value, cancer care delivery
- MeSH terms
- Health Expenditures, Medicare, Humans, Medical Oncology, Neoplasms, Quality of Health Care, Reimbursement Mechanisms, United States, Health Care Costs, Health Care Reform, Patient Protection and Affordable Care Act
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