Regional Cancer Care Associates (RCCA) is extending its cancer care payment initiative with UnitedHealthcare to RCCA sufferers in Maryland who are covered by UnitedHealthcare benefit plans.
The program, made available at RCCA New Jersey locations in the month of January, rewards physicians for concentrating on best treatment practices, quality patient care and better health results. The program pays participating medical oncologists more if they indicate superior clinical results and if they decrease the total cost of care.
The episode payment model shifts reimbursement away from the present “fee-for-service” approach that asserts volume of care delivered regardless of a patient’s health outcomes. The episode payment is deployed on the expected cost of a standard treatment regimen for a particular condition, as predetermined by the doctor. Similar payment models have been demonstrated to enhance care coordination and make better health outcomes for patients, while decreasing overall costs.
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