Subscribe

Value based concerns for Oncologist in the United States

VBCC - Media Library - Reimbursement
Michael Kolodziej, MD
National Medical Director
Oncology Solutions
Aetna
Hartford, CT

To be honest, I think the biggest challenge that oncologists in the United States are seeing right now is that the uncertainty of the reimbursement environment makes them nervous about whether they will be able to continue to deliver care in the fashion that they would like. I think that’s the biggest driver.

Unfortunately, one of the consequences of that milieu is that providers are heading toward hospital systems where the hospital system is happy to have them because there are strong economic drivers for them to want to have them within the system.

Those economic drivers, of course, are 340B reimbursement if it’s a 340B institution, and contracts with payers that, unfortunately, are almost exclusively cost‑driven and, therefore, not a good value for our members.

Oncologists are really challenged. They’re challenged to try to give the kind of care they really want to give in a world that doesn’t necessarily seem to be too friendly to them right now.

Related Items
The Role of Oncologists in Defining the Value of Cancer Therapy
Michael Kolodziej, MD
VBCC - August 2015, Vol 6, No 7 published on August 18, 2015 in VBCC Perspectives
The Imperative to Discuss Cost of Care with Patients with Cancer
Michael Kolodziej, MD
VBCC - February 2015, Vol 6, No 1 published on February 19, 2015 in VBCC Perspectives
Dr. Michael Kolodziej talks about VBCC
Michael Kolodziej, MD
VBCC - Media Library published on January 15, 2015 in Testimonials
Are there specific initiatives at Atena that other health plans can adopt for value based cancer care
Michael Kolodziej, MD
VBCC - Media Library published on January 15, 2015 in Payer-Provider
Will Accountable Care organizations have a positive impacat on oncology and patients with cancer
Michael Kolodziej, MD
VBCC - Media Library published on January 15, 2015 in Accountable Care Organization
Can ACO's improved quality lower or contain cost
Michael Kolodziej, MD
VBCC - Media Library published on January 15, 2015 in Accountable Care Organization
Level of cost sharing faced by patients with cancer
Michael Kolodziej, MD
VBCC - Media Library published on January 15, 2015 in Pricing
What can be done to alleviate the cost to patients with cancer
Michael Kolodziej, MD
VBCC - Media Library published on January 15, 2015 in Pricing
Oncologists and Cost Issues
Michael Kolodziej, MD
VBCC - Media Library published on January 15, 2015 in Pricing
Reimbursement Reform in Oncology: Moving from Cost to Quality
Michael Kolodziej, MD
VBCC - November 2014, Vol 5, No 9 published on November 20, 2014 in VBCC Perspectives
Last modified: September 28, 2015
  • Rheumatology Practice Management
  • Lynx CME
  • American Health & Drug Benefits
  • Value-Based Cancer Care
  • Value-Based Care in Myeloma
  • Value-Based Care in Neurology