Oncology Episode Payment Model in Hawaii
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- Composite quality score
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Any oncologist who practices with Hawaii Oncology and is a participating provider.
排除标准
- •Any provider who does not practice with Hawaii Oncology.
研究组 & 干预措施
Cancer Episode Payment Model
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.
干预措施: Cancer Episode Payment Model (CEM) (Other)
Fee for Service
Oncologists in this arm will not receive the intervention and will continue to be paid through fee-for-service.
结局指标
主要结局
Composite quality score
时间窗: 1 year
Quality metrics included in the oncology model will be compared across the two arms.
Episode cost
时间窗: 6 months
Total spending of oncology patients in the episode will be compared across the two arms.
Utilization of acute and specialty care
时间窗: 6 months
Total utilization of acute and specialty care of oncology patients in the episode will be compared across the two arms
次要结局
- Quality of care at end of life(6 months)
- Survival(one year)
研究者
Amol Navathe
Principal Investigator
University of Pennsylvania