Healthcare Professionals

Preparing For The Future Of Value-Based Healthcare

Change is Coming to Radiation Oncology

After decades of rising costs, the health care system is transforming to incentivize the health care institutions and providers who can deliver high quality patient care at lower per-capita costs. Government and private payers alike, in an effort to transition reimbursement from a volume-based to value-based system, are introducing alternative payment models focused on improving health outcomes. Radiation oncology is not immune from this phenomenon.

The Goals of Value-Based Healthcare

High Quality Care

Patient Satisfaction

Lower Per-Capita Costs

The Largest Indication Projected to Growth Dramatically

According to a 2017 report from the Centers for Medicare and Medicaid Services (CMS), breast cancer accounts for more episodes of care (20.4%) than any disease site for which radiotherapy is provided.1 Additionally, a 2015 study by the National Cancer Institute projected that total number of new breast cancers (invasive plus insitu) will rise more than 50% to 441,000 by 2030.2

Maintaining Health Outcomes, Bending the Cost Curve and Managing Growth

In the years ahead, cancer centers will be challenged to provide high quality to care to more women facing a diagnosis of breast cancer.  Shorter courses of highly focused, noninvasive radiation have the potential to play an important role in helping providers more cost-effectively manage the population of early stage breast cancer patients who may benefit from radiation therapy.

 

1 United States Department of Health and Human Services. “REPORT TO CONGRESS: Episodic Alternative Payment Model for Radiation Therapy Services,” November 2017.

2 Rosenberg, P. S., Barker, K. A., & Anderson, W. F. (2015). Estrogen Receptor Status and the Future Burden of Invasive and In Situ Breast Cancers in the United States. JNCI: Journal of the National Cancer Institute, 107(9).

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