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Understanding the effects of the Oncology Care Model on cancer care for dual eligible patients

了解肿瘤护理模式对双重合格患者癌症护理的影响

基本信息

批准号：
10415954
负责人：
Lindsey Allison Herrel
金额：
$ 19.42万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-07-01 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10415954
关键词：
Accounting Adherence Cancer Burden Cancer Patient Caring Characteristics Colon Carcinoma Complex Control Groups Data Development Plans Diagnosis Elderly Evaluation Fees Fostering Goals Grant Guidelines Health Policy Health Services Health Services Accessibility Health system Hospitalization Improve Access Incentives Information Technology Lead Low income Malignant Neoplasms Malignant neoplasm of lung Malignant neoplasm of prostate Measures Medicaid Medical Medicare Medicare claim Medicare/Medicaid Mentors Methodology Methods Modeling Modification Motivation Oncologist Oncology Operative Surgical Procedures Outcome Patients Performance Physicians Policies Policy Analysis Population Provider Quality of Care Research Research Personnel Resources Rewards Risk Risk Adjustment Scientist Services Structure Surgeon Testing Training Translating United States Centers for Medicare and Medicaid Services Variant Voluntary Programs Vulnerable Populations Work base beneficiary cancer care care coordination care episode career career development chemotherapy cost design disparity reduction dual eligible econometrics ethnic minority experience financial incentive health equity hospice environment improved improved outcome insight malignant breast neoplasm medical specialties multiple chronic conditions payment programs racial minority simulation skills social success urologic

项目摘要

PROJECT SUMMARY/ABSTRACT Candidate: Lindsey Herrel, MD, MS is a urologic oncologist and junior health services researcher focused on improving cancer care for vulnerable populations through health policy reform. Dr. Herrel's long-term career goal is to become an independent surgeon-scientist evaluating healthcare policies that impact vulnerable populations with cancer, with the ability to translate research findings through healthcare policy reform. Research Context: Nearly 900,000 Medicare beneficiaries are diagnosed with cancer annually, with costs exceeding $34 billion. The Oncology Care Model, which is the first alternative payment model in cancer, incentivizes physicians to provide higher quality care at a lower cost. For dual eligible beneficiaries who qualify for Medicare due to elderly status and Medicaid due to low income, programs such as OCM that reward improvements in quality and reductions spending through care coordination, may offer a unique opportunity to improve cancer care for these vulnerable populations. However, this program may also lead to adverse selection and limited access if financial incentives are not properly aligned. Specific Aims: 1) To better understand practice level variation in OCM participation for dual eligible beneficiaries. 2) To examine the effect of OCM participation on quality of cancer care and spending for duals. 3) To evaluate the impact of alternative payment strategies on cancer care for dual eligible beneficiaries. Research Plan: Dr. Herrel will use Medicare claims and methodology consistent with current policy to characterize practices participating in OCM, in particular where duals are receiving cancer care. She will then use advanced econometric methods to evaluate the effect of the OCM policy on improving quality and reducing spending for duals. Finally, she will determine if current financial incentives are properly aligned with caring for duals and will assess if alternate payment strategies may provide greater motivation to care for duals. Career Development Plan: In parallel with this research plan and under the guidance of well- established mentors, Dr. Herrel will develop expertise in: 1) health equity for vulnerable populations and dual eligible beneficiaries; 2) legislative and regulatory aspects of health policy; 3) advanced econometric analyses for policy evaluation and simulation.

项目总结/文摘