{"id":11502,"date":"2020-07-13T10:00:35","date_gmt":"2020-07-13T04:30:35","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=11502"},"modified":"2025-09-23T13:06:47","modified_gmt":"2025-09-23T13:06:47","slug":"key-trends-in-value-based-care-of-oncology","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/key-trends-in-value-based-care-of-oncology\/","title":{"rendered":"Key Trends in Value-based Care of Oncology"},"content":{"rendered":"

In the healthcare industry, Value-based healthcare is the new delivery model in which care providers, including hospitals and physicians, are rewarded for helping patients improve their health and\u00a0are paid based on patient health outcomes.<\/p>\n

This model has great adoption in Oncology<\/a> for delivering holistic patient care while driving sustainable cost savings. In this model participating practices need to track and report on a vast array of new measures related to care quality, cost, and patient outcomes.<\/p>\n

These programs, such as the\u00a0Oncology Care Model (OCM),<\/a>\u00a0\u00a0offer financial incentives to participants as well as practices that are compelled to develop and deploy new capabilities for patient care.<\/p>\n

However, Most Oncologists are optimistic about the beneficial potential of value-based care; until they observe a conflict between the need to decrease episode costs and the rising prices of the most innovative novel therapies.<\/p>\n

Hence new trends are emerging in value-based care of Oncology:<\/strong><\/h2>\n

Cost of drugs<\/strong><\/h3>\n

Rising drug costs including promising but expensive novel therapies as the challenge in the era of value-based care make practices financially accountable. Also, continuous rising drug costs as a priority issue impacting the overall wellbeing of practices.<\/p>\n

New approaches to the treatment of cancer<\/strong><\/h3>\n

Oncologists are choosing treatment regimens under value-based care programs where they are accountable for the cost of entire episodes of care as well as drug choices, compared to their approaches during the fee-for-service era.<\/p>\n

The oncologist is remaining committed to delivering the best clinical outcomes while choosing a drug for an individual patient\u2019s treatment regimen irrespective of the impact on episode cost.<\/p>\n

Cooperation among various stakeholders under the value-based care model<\/strong><\/h3>\n

The value-based care model is driving the need for cooperation among providers, pharma, and payers. This cooperation enables Oncologists to match the right treatments with the right patients under the value-based care model.<\/p>\n

The oncologist is looking for help to figure out how to optimize treatment decisions for the new landscape.<\/p>\n

The emergence of care pathways<\/strong><\/h3>\n

A care pathway is a multidisciplinary healthcare management tool based on healthcare plans for a particular group of patients in which the different tasks or interventions are involved by the professionals in the patient care with a predictable clinical course.<\/p>\n

Care pathways will play a pivotal role in the Value-based care model and there is a need for active use of care pathways by integrating them into value-based reimbursement models.<\/p>\n

Precision Medicine<\/strong><\/h3>\n

Precision medicine is an approach to patient care that allows doctors to select treatments that are most likely to help patients based on a genetic understanding of their disease. This approach ultimately resolves the growing tension between drug costs and will act as a key to the appropriate use of novel therapies for cancer in the future.<\/p>\n

Rising Patient\u2019s awareness<\/strong><\/h3>\n

Nowadays, traditional referral patterns are disrupting as patients are becoming more independent. Moreover, various factors are driving this patient consumerism, including a growing price sensitivity by consumers, increased access to healthcare information that they can use for their decision-making, and rising \u00adexpectations for services and subsequent changes like the physician-patient relationship.<\/p>\n

Medical Billers and Coders (MBC)<\/strong><\/a> providing Oncology coding and billing services to several companies across the US.<\/p>\n

Our expert team has years of expertise in this field and outsourcing your Oncology coding and billing to us, you may rest assured that the process is being handled by trained professionals.<\/p>\n

FAQs<\/strong><\/h2>\n\n\n
1. What is value-based healthcare?<\/strong>

Value-based healthcare is a delivery model where care providers are rewarded based on patient health outcomes rather than the volume of services provided.<\/p> <\/div>

2. How does value-based care impact oncology practices?<\/strong>

In oncology, value-based care promotes holistic patient care and requires practices to track and report various quality measures, aiming for better health outcomes.<\/p> <\/div>

3. What challenges do oncologists face in value-based care?<\/strong>

Oncologists often struggle with balancing the need to reduce treatment costs while managing the rising prices of innovative cancer therapies.<\/p> <\/div>

4. How do care pathways fit into value-based care?<\/strong>

Care pathways are structured plans that guide treatment for specific patient groups, helping ensure consistent, quality care while optimizing resource use in a value-based model.<\/p> <\/div>

5. Why is patient awareness important in value-based care?<\/strong>

Increasing patient awareness leads to more informed decision-making and higher expectations for care, which can influence treatment choices and provider relationships.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"

In the healthcare industry, Value-based healthcare is the new delivery model in which care providers, including hospitals and physicians, are rewarded for helping patients improve their health and\u00a0are paid based on patient health outcomes. This model has great adoption in Oncology for delivering holistic patient care while driving sustainable cost savings. In this model participating […]<\/p>\n","protected":false},"author":2,"featured_media":11503,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[162,9,11,64,192,720,957,959,144,816,699,86,1070,34,27,905,758],"class_list":["post-11502","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oncology-billing-services","tag-medical-billing-and-coding-services","tag-medical-billing-companies","tag-medical-billing-outsourcing","tag-medical-billing-practices","tag-medicare-medicaid-services","tag-oncologists","tag-oncology-biling-services","tag-oncology-billing-guidelines","tag-outsource-medical-billing","tag-outsourced-medical-billing-services","tag-outsourcing-primary-care-billing","tag-physician-billing","tag-radiation-oncology","tag-reimbursement","tag-revenue-cycle-management-2","tag-telemedicine","tag-value-based-reimbursement"],"yoast_head":"\nValue-based 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