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New Study Determines Cancer Care Delivered In Hospital Outpatient Setting Much More Expensive Than In Independent, Community Oncology Practices

(COA) Sept 28, 2017 - Chemotherapy 71% more expensive, physician visits 333% more expensive, and patients have higher rates of emergency department visits when treated in hospital outpatient setting; data consistent across tumor types, including breast, lung, and colorectal cancers.

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patrick stagg (Posted: October 08, 2017)

quotesIt was one of the reasons I was happy to retire from the hospital owned practice. Most physicians probably do not see the difference, but our lab charges went from double digits as private practitioners to triple digits. Chemotherapy I did not want to see.quotes

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Thomas Marsland, MD (Posted: October 02, 2017)

quotesI recently had the opportunity to talk with a group of medical oncologists about MACRA. Many of these physicians are still practicing in small groups or single doctor offices. At the end of the discussion I felt I had to hand out prescriptions for Zolof (a good Napa Cab had already been supplied). They were clearly overwhelmed with the rules and regulations and compliance issues in the new law. These heap additional expenses on already overburdened small practices. This report AGAIN demonstrates the cost efficiency of care delivered in the private practice setting. When physicians control the care delivery, we have continually shown that we can do a better job at cost control than care delivered in a hospital program. Hospitals have a dramatic economic advantage over private practice with things like the 340B pricing and the OPPS. They can give the oncologist greater economic security but at a larger cost for equivalent care. The powers that be must soon understand that the present system is driving doctor out of private practice and that if effort to equalize the reimbursement landscape are not changed there will be no private practices left (I suspect that is their real objective).quotes

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Jeff Patton (Posted: September 28, 2017)

quotesWe have know for years that the community setting is the lower cost site of care but have been slow perform and publish the studies to prove our case. Congratulations to Dr. Gordan and his collaborators for this publications. Hopefully as we move toward value based reimbursements patient treatment will migrate back to community oncology clinics where the cost of care is lower and patient convenience is better.quotes

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Community Oncology
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Dean Gesme, MD

FACP FACPE FASCO President, Minnesota Oncology...

Breast Cancer
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Debu Tripathy, MD

Professor and Chair, Department of Breast Medical Oncol...

Lung Cancer
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H. Jack West, MD

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Gastrointestinal Cancers
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Howard S. Hochster, MD

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Howard Sandler, MD, MS, FASTRO

Ronald H. Bloom Chair in Cancer Therapeutics
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Richard Goldberg, MD

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Robert A. Figlin, MD., FACP

Professor and Director, Division of Hematology Oncology...

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Ted Okon

Executive Director Community Oncology Alliance...

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Thomas Marsland, MD

Vice President Integrated Community Oncology Network ...

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Florida Cancer Specialists President and Managing Part...

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