TY - JOUR
T1 - Resource and Reimbursement Barriers to Comprehensive Cancer Care Delivery
T2 - An Analysis of Association of Community Cancer Centers Survey Data
AU - Benson, Al Bowen
AU - Boehmer, Leigh
AU - Mi, Xinlei
AU - Kocherginsky, Masha
AU - Shivakumar, Latha
AU - Trosman, Julia R.
AU - Weldon, Christine B.
AU - Tina Shih, Ya Chen
AU - Hahn, Elizabeth A.
AU - Kircher, Sheetal M.
N1 - Publisher Copyright:
© American Society of Clinical Oncology.
PY - 2023/3/1
Y1 - 2023/3/1
N2 - PURPOSE:Comprehensive cancer care (CCC) delivery is recommended in guidelines and considered essential for high-quality cancer management. Barriers, such as insufficient reimbursement, prevent consistent access to and delivery of CCC. Association of Community Cancer Centers conducted a national survey to elucidate capacity and barriers to CCC delivery to inform policy and value-based payment reform.METHODS:Survey methodology included item generation with expert review, iterative piloting, and cognitive validity testing. In the final instrument, 27 supportive oncology services were assessed for availability, reasons not offered, and coverage/reimbursement.RESULTS:204 of 704 member programs completed survey questions. Despite most services being reported as offered, a minority were funded through insurance reimbursement. The services least likely to obtain reimbursement were those that address practical and family/childcare needs (0.7%), caregiver support (1.5%), advanced care directives (1.7%), spiritual services (1.8%), and navigation (2.7%). These findings did not vary by region or practice type.CONCLUSION:There is a lack of sufficient reimbursement, staffing, and budget to provide CCC across the United States. Care models and reimbursement policies must include CCC services to optimize delivery of cancer care.
AB - PURPOSE:Comprehensive cancer care (CCC) delivery is recommended in guidelines and considered essential for high-quality cancer management. Barriers, such as insufficient reimbursement, prevent consistent access to and delivery of CCC. Association of Community Cancer Centers conducted a national survey to elucidate capacity and barriers to CCC delivery to inform policy and value-based payment reform.METHODS:Survey methodology included item generation with expert review, iterative piloting, and cognitive validity testing. In the final instrument, 27 supportive oncology services were assessed for availability, reasons not offered, and coverage/reimbursement.RESULTS:204 of 704 member programs completed survey questions. Despite most services being reported as offered, a minority were funded through insurance reimbursement. The services least likely to obtain reimbursement were those that address practical and family/childcare needs (0.7%), caregiver support (1.5%), advanced care directives (1.7%), spiritual services (1.8%), and navigation (2.7%). These findings did not vary by region or practice type.CONCLUSION:There is a lack of sufficient reimbursement, staffing, and budget to provide CCC across the United States. Care models and reimbursement policies must include CCC services to optimize delivery of cancer care.
UR - http://www.scopus.com/inward/record.url?scp=85150079295&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85150079295&partnerID=8YFLogxK
U2 - 10.1200/OP.22.00417
DO - 10.1200/OP.22.00417
M3 - Article
C2 - 36521094
AN - SCOPUS:85150079295
SN - 2688-1527
VL - 19
SP - E428-E438
JO - JCO Oncology Practice
JF - JCO Oncology Practice
IS - 3
ER -
