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.
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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
7
Oncologists will be paid for an episode of care with the opportunity to receive a value based payment based on 6 quality metrics.
Hawaii Oncology
Honolulu, Hawaii, United States
Composite quality score
Quality metrics included in the oncology model will be compared across the two arms.
Time frame: 1 year
Episode cost
Total spending of oncology patients in the episode will be compared across the two arms.
Time frame: 6 months
Utilization of acute and specialty care
Total utilization of acute and specialty care of oncology patients in the episode will be compared across the two arms
Time frame: 6 months
Quality of care at end of life
Quality measures evaluating use of acute care and palliative care services at the end of life will be compared across the two arms
Time frame: 6 months
Survival
All cause mortality will be compared across the two arms
Time frame: one year
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