The impact of provider payment reforms and associated care delivery models on cost and quality in cancer care: A systematic literature review

Mina Nejati, Moaven Razavi, Iraj Harirchi, Kazem Zendehdel and Parisa Nejati

PLOS ONE, 2019, vol. 14, issue 4, 1-19

Abstract: Objectives: To investigate the impact of provider payment reforms and associated care delivery models on cost and quality in cancer care. Methods: Data sources/study setting: Review of English-language literature published in PubMed, Embase and Cochrane library (2007–2019). Results: Of the 26 included studies, seven evaluations were in fact qualified as quasi experimental designs in retrospect. Alternative payment models were significantly associated with reduction in resource use and cost in cancer care. Across the seventeen studies reporting data on the implicit payment reforms through care coordination, the adoption of clinical pathways was found effective in reduction of unnecessary use of low value services and associated costs. The estimates of all measures in ACO models varied considerably across participating providers, and our review found a rather mixed impact on cancer care outcomes. Conclusion: The findings suggest promising improvement in resource utilization and cost control after transition to prospective payment models, but, further primary research is needed to apply robust measures of performance and quality to better ensure that providers are delivering high-value care to their patients, while reducing the cost of care.

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0214382

DOI: 10.1371/journal.pone.0214382

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