open access

Vol 24, No 2 (2019)
Original research articles
Published online: 2019-03-01
Submitted: 2018-08-30
Get Citation

The case for radiotherapy in a Value based environment

Peter A.S. Johnstone, Susan Peneguy, Timothy N. Showalter, James B. Yu
DOI: 10.1016/j.rpor.2019.01.006
·
Rep Pract Oncol Radiother 2019;24(2):200-203.

open access

Vol 24, No 2 (2019)
Original research articles
Published online: 2019-03-01
Submitted: 2018-08-30

Abstract

Aim

Describe the Value proposition for radiotherapy (RT) in the United States.

Background

In the United States since 2005, two forces have worked to decrease RT cost per patient: Federal changes in reimbursement and hypofractionation of treatment courses. We theorize that these have driven stable reimbursement in the context of increasing technology of intensity modulation (IMRT) and image guidance (IGRT). This phenomenon provides increasing Value of the discipline to patients and systems.

Materials and methods

We searched the Medicare Physician/Supplier data for Program Payments per Person with Utilization for 2000 through 2016. This involves two databases: Enrollment Database (EDB) for 2000–2012 and Common Medicare Enrollment (CME) since 2013. RT payments to individual patients accessing services were retrieved.

Results

Taking into account the change of calculation algorithm used by CMS in 2013, costs per patient were similar in 2012 and 2003, and 2016 and 2013.

Conclusions

In the United States, stabilizing costs in the face of increasing work, better outcomes, and decreased toxicity contributes to increasing RT value over the past 10 years.

Abstract

Aim

Describe the Value proposition for radiotherapy (RT) in the United States.

Background

In the United States since 2005, two forces have worked to decrease RT cost per patient: Federal changes in reimbursement and hypofractionation of treatment courses. We theorize that these have driven stable reimbursement in the context of increasing technology of intensity modulation (IMRT) and image guidance (IGRT). This phenomenon provides increasing Value of the discipline to patients and systems.

Materials and methods

We searched the Medicare Physician/Supplier data for Program Payments per Person with Utilization for 2000 through 2016. This involves two databases: Enrollment Database (EDB) for 2000–2012 and Common Medicare Enrollment (CME) since 2013. RT payments to individual patients accessing services were retrieved.

Results

Taking into account the change of calculation algorithm used by CMS in 2013, costs per patient were similar in 2012 and 2003, and 2016 and 2013.

Conclusions

In the United States, stabilizing costs in the face of increasing work, better outcomes, and decreased toxicity contributes to increasing RT value over the past 10 years.

Get Citation

Keywords

Value; Radiation oncology; Health services research

About this article
Title

The case for radiotherapy in a Value based environment

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 24, No 2 (2019)

Pages

200-203

Published online

2019-03-01

DOI

10.1016/j.rpor.2019.01.006

Bibliographic record

Rep Pract Oncol Radiother 2019;24(2):200-203.

Keywords

Value
Radiation oncology
Health services research

Authors

Peter A.S. Johnstone
Susan Peneguy
Timothy N. Showalter
James B. Yu

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