Changing Physician Incentives for Affordable, Quality Cancer Care: Results of an Episode Payment Model
Abstract
Modifying the current fee-for-service payment system for cancer therapy with feedback data and financial incentives that reward outcomes and cost efficiency resulted in a significant total cost reduction. Eliminating existing financial chemotherapy drug incentives paradoxically increased the use of chemotherapy.
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An episode-based payment model demonstrated 34% cost savings by aligning payment incentives with EBPs and reimbursing for enhanced care as compared to a fee-for-service system.
“an episode-based payment model demonstrated 34% cost savings by aligning payment incentives with EBPs and reimbursing for enhanced care as compared to a fee-for-service system [46].”
From Translating economic evaluations into financing strategies for implementing evidence-based practices (2021) · cites this paper as [46]
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Langer, L., & Kolodziej, M. A. (2026) · JCO Oncology Practice · doi:10.1200/op-25-01339 · Cited by 2 · see citing works
The Impact of Health Delivery Integration on Cancer Outcomes
Golla, V., & Kaye, D. R. (2021) · Surgical Oncology Clinics of North America · doi:10.1016/j.soc.2021.08.003 · Cited by 3 · see citing works
Specialty Payment Model Opportunities and Assessment
Mulcahy, A. W., Chan, C. T., Hirshman, S. D., Huckfeldt, P. J., Kofner, A., Liu, J., Lovejoy, S. L., Popescu, I., Timbie, J. W., & Hussey, P. S. (2015) · Cited by 2 · see citing works
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Zafar, S. Y., Polite, B. N., & McClellan, M. (2018) · JAMA Oncology · doi:10.1001/jamaoncol.2018.2826 · Cited by 2 · see citing works
Fishman, E., Fisch, M. J., Liu, Y., Barron, J. J., Nguyen, A., & Sylwestrzak, G. (2020) · JCO Oncology Practice · doi:10.1200/jop.19.00525 · Cited by 1 · see citing works
Alani, J. M., Olaoye, D. Q., & Abdus-Salam, A. A. (2023) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000001398 · Cited by 1 · see citing works
- Authors
- Newcomer, L. N., Gould, B., Page, R. D., Donelan, S. A., & Perkins, M.
- Affiliations
- Center for Cancer and Blood Disorders (US)
- Venue
- Journal of Oncology Practice
- Published
- 2014-09
- Volume
- 10
- Issue
- 5
- Pages
- 322-326
- ISSN
- 1554-7477 (ISSN-L)
- 1935-469X
- OpenAlex
- W2110556979
- Cited by
- 128
- References
- 4
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 12 · 2020: 8 · 2019: 14 · 2018: 11 · 2017: 14 · 2016: 28 · 2015: 20 · 2014: 8
- FWCI
- 57.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Oncology Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Society of Clinical Oncology
- 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 › Healthcare cost, quality, practices
- Keywords
- chemotherapy costs, fee-for-service, cost reduction, quality of cancer care, breast cancer, colon cancer, lung cancer
- MeSH terms
- Antineoplastic Agents, Health Expenditures, Humans, Medical Oncology, Neoplasms, Physicians, Quality of Health Care, Registries, Reimbursement, Incentive, Health Care Costs, Outcome Assessment, Health Care, Fee-for-Service Plans, Quality Improvement
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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