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- W2034409854 abstract "From 2003 to 2009, radiation oncology exceeded its sustainable growth rate target by nearly 300% ( 1 Alhassani A. Chandra A. Chernew M.E. The sources of the SGR “hole”. N Engl J Med. 2012; 366: 289-291 Crossref PubMed Scopus (39) Google Scholar ). Between 2010 and 2011, the intensity modulated radiation therapy (IMRT) code exhibited the fourth highest percent increase of all Medicare codes ( 2 Mohideen N. Medicare scrutinizes radiation oncology reimbursement. ASTROnews. 2013; 16: 28 Google Scholar ). It is difficult to determine the extent to which this spending growth has produced commensurate clinical benefit, but the current payment system raises concerns about overutilization. Hospitals and clinics are reimbursed for each discrete element of care, and the technological focus of radiation oncology generates an abundance of billable units. Adding a radiation beam, using IMRT, or spreading the dose out over more treatments all generate additional revenue. Fee-for-service payment creates widespread inefficiency as payers spend large sums to create and enforce guidelines, and providers devote substantial resources to ensure appropriate billing. Getting the Next Version of Payment Policy “Right” on the Road Toward Accountable Cancer CareInternational Journal of Radiation Oncology, Biology, PhysicsVol. 89Issue 5PreviewThe economist's view of physician behavior is one in which the practice of medicine is motivated by tradeoffs among income, conscience, and leisure, with perhaps a nod to training or practice norms (1). As much as physicians might find such a caricature distasteful and inconsistent with their core beliefs and practices, empirical evidence supports the basic elements of this model of physician behavior (2). Moreover, policy makers have relied on this model to develop physician payment policies that attempt to balance the interests of physicians, patients, and payers. Full-Text PDF" @default.
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- W2034409854 date "2014-08-01" @default.
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- W2034409854 title "Design and Implementation of Bundled Payment Systems for Cancer Care and Radiation Therapy" @default.
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