Oncology Episode Payment Model in Hawaii

University of Pennsylvania

Status: Active, not recruiting

Conditions: Breast Cancer; Colon Cancer; Lung Cancer

Treatments: Other: Cancer Episode Payment Model (CEM)

Study type: Interventional

Funder types: Other

Identifiers

NCT03523546

823981A

Details and patient eligibility

About

The HMSA Cancer Episode Payment Model (CEM) is a payment model designed to test the effects of better care coordination on health outcomes and costs of care for Hawaii Medical Services Association (HMSA) members with cancer who receive chemotherapy.

Full description

The CEM is designed to improve community health, to improve care coordination, quality, and appropriateness of care, to improve patient experience, and to implement a value-based incentive structure that appropriately rewards oncologists for cost-savings and sustained of improved quality of care.

Enrollment: 7 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Any oncologist who practices with Hawaii Oncology and is a participating provider.

Exclusion criteria

• Any provider who does not practice with Hawaii Oncology.

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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7 participants in 2 patient groups

Cancer Episode Payment Model

Experimental group

Description:

Oncologists in this arm will be paid for each member's episode of care. The episode of care is 6 months in duration. Oncologists will have the opportunity to receive performance-based payments based upon a set of 6 quality metrics.

Treatment:

Other: Cancer Episode Payment Model (CEM)

Fee for Service

No Intervention group

Description:

Oncologists in this arm will not receive the intervention and will continue to be paid through fee-for-service.