Two Innovative Cancer Care Programs Have Potential to Reduce Utilization and Spending
Bibliographic Data
| ID | 9103859 |
|---|---|
| Authors | Erin Murphy Colligan (Centers for Medicare and Medicaid Services, corresponding author), Erin Ewald (NORC at the University of Chicago, Bethesda, MD), Nancy L Keating (0000-0002-8274-4681, Harvard Medical School), Shriram Parashuram (NORC at the University of Chicago, Bethesda, MD), Michelle Spafford (0000-0002-7302-8894, NORC at the University of Chicago, Bethesda, MD), Sarah Ruiz (0000-0003-2781-105X, Administration for Community Living, Washington, DC), Adil Moiduddin (NORC at the University of Chicago, Bethesda, MD) |
| Year | 2017 |
| Volume | 55 |
| Issue | 10 |
| Pages | 873-878 |
| Publication date | 2017-10-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000795 |
| PMID | 28906313 |
| OpenAlex | W2755097667 |
| Language | EN |
| Citations received | 1 |
| References cited | 19 |
BACKGROUND: Cancer patients often present to the emergency department (ED) and hospital for symptom management, but many of these visits are avoidable and costly. OBJECTIVE: We assessed the impact of 2 Health Care Innovation Awards that used an oncology medical home model [Community Oncology Medical Home (COME HOME)] or patient navigation model [Patient Care Connect Program (PCCP)] on utilization and spending. METHODS: Participants in COME HOME and PCCP models were matched to similar comparators using propensity scores. We analyzed utilization and spending outcomes using Medicare fee-for-service claims with unadjusted and adjusted difference-in-differences models. RESULTS: In the adjusted models, both COME HOME and PCCP were associated with fewer ED visits than a comparison group (15 and 22 per 1000 patients/quarter, respectively; P<0.01). In addition, COME HOME had lower spending ($675 per patient/quarter; P<0.01), and PCCP had fewer hospitalizations (11 per 1000 patients/quarter; P<0.05), relative to the comparison group. Among patients undergoing chemotherapy, fewer COME HOME and PCCP patients had ED visits (18 and 28 per 1000 patients/quarter, respectively; P<0.01) and fewer PCCP patients had hospitalizations (13 per 1000 patients/quarter; P<0.05), than comparison patients. CONCLUSIONS: The oncology medical home and patient navigator programs both showed reductions in spending or utilization. Adoption of such programs holds promise for improving cancer care
Emergency department · Family medicine · Health care · Medical emergency · Medical home · Patient satisfaction · Primary care · Propensity score matching · Quarter (Canadian coin) · Economic and Financial Impacts of Cancer · Emergency Medicine · Internal Medicine · Medicine · Neutropenia and Cancer Infections · Nursing · Primary Care and Health Outcomes
| Citations per year | 0.11 |
|---|---|
| Citation span | 2017 - 2017 (1) |
| Highly cited | No |