The episode-of-care project is the first program in which a payer has partnered with the oncology community to reduce costs while paying for the demanding and complex cognitive work of the medical oncologist. The episode-of-care payment system seems to be working smoothly and we have not experienced the same erosion of our income that we have seen with other payers.
Counseling women at high risk for ovarian and uterine cancer is a complex process, from genetic diagnosis
to the management of at-risk women. Rimes and
colleagues have presented these challenging issues, and
suggested ways to manage them, very well.
A recent epidemiology study by the NCI has found an almost four-fold increase of cancer survivors since 1971: 11.9 million in 2008 compared with 3 million in 1971, and the authors of the study expect a 42% increase in the number of older adult survivors in the next 10 years.
Cancer service leaders must create the vision, embrace the change agenda, and drive the roadmap in order to make the strategic and clinical changeover to value.
Bellury LM, Ellington L, Beck SL, et al: Elderly cancer survivorship: An integrative review and conceptual framework. Eur J Oncol Nurs 15(3):233–242, 2011.Derby S: Assessment and management of delirium in the older adult with cancer. Clin J Oncol Nurs 15(3):247–250, 2011.Holtslander LF, Bally JM, Steeves ML: Walking a fine line: An exploration of the experience of finding balance for older persons bereaved after caregiving for a spouse with advanced cancer. Eur J Oncol Nurs 15(3):254–259, 2011. Kahana B, Kahana E, Deimling G, et al: Determinants of altered life perspectives among older-adult long term cancer survivors. Cancer Nurs 34(3):209–218, 2011. Pieters HC, Heilemann MV, Grant M, et al: Older women's reflections on accessing care across their breast cancer trajectory: Navigating beyond the triple barriers. Oncol Nurs Forum 38(2):175–184, 2011. Swinney JE, Dobal MT: Older African American women's beliefs, attitudes, and behaviors about breast cancer. Res Gerontol Nurs 4(1): 9–18, 2011. Van Cleave JH, Egleston BL, McCorkle R: Factors affecting recovery of functional status in older adults after cancer surgery. J Am Geriatr Soc 59(1):34–43, 2011.
Survival for cancer patients in the United States ranks among the highest in the world. Despite the demonstrated success of the US cancer delivery system, government and private payers are forcing changes to the delivery of and payment model for oncology care.
A study published in the journal Cancer on May 9 has now specifically examined the outcome of cancer survivorship of the gay, lesbian, and bisexual population. The study authors found that cancer outcomes differ based on sexual orientation.
The recent Centers for Disease Control and Prevention (CDC) report carrying good news about cancer survivorship is an urgent “heads up” for all of us in cancer care. The report states that between the years 1971 and 2001, the number of cancer survivors increased by more than three-fold (from 3 million to nearly 10 million).
From the current literature
Colorectal cancer is one of the most commonly diagnosed cancers in the US, and it is the second leading cause of cancer-related deaths. The risk of developing colorectal cancer increases with age.