Health Care & Insurance  November 23, 2015

Rocky Mountain Cancer Centers teams with UnitedHealthcare on payment program

GREENWOOD VILLAGE — Rocky Mountain Cancer Centers has joined UnitedHealthcare’s cancer-care payment program that focuses on better health outcomes and lower bills for patients.

The program pays participating oncologists more if they demonstrate superior clinical results and reduce the total cost of care.

UnitedHealthcare first implemented the program with a pilot study between 2009 and 2012 that produced a reduction in hospitalizations and a 34 percent reduction in total costs while improving quality. Click here to read results of the study.

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Greenwood Village-based Rocky Mountain Cancer Centers has 50 physicians treating patients in 21 cities across the state, including Boulder and Longmont.

The episode-payment model shifts reimbursement away from the current “fee-for-service” approach that emphasizes volume of care delivered regardless of a patient’s health outcome. An episode payment is based on the expected cost of a standard treatment regimen for a specific condition, as predetermined by the doctor.

“This streamlined payment process, coupled with the oncologists sharing best practices and learning from one another, puts patients’ interests at the forefront of cancer treatment,” said Dr. John Fleagle, Rocky Mountain Cancer Centers’ practice president. It also results in significant cost-savings, which advances efforts across the country to help rein in health-care costs.”

Rocky Mountain Cancer Centers is among five new oncology practices joining the program that has more than 650 oncologists combined. In addition to Rocky Mountain Cancer Centers, the oncologists joining the program are from Texas Oncology, with multiple locations in Texas; OHC, Specialists in Cancer and Blood Disorders, Cincinnati; Cancer Specialists of North Florida with multiple locations in Florida; and Tulsa Cancer Institute, Tulsa, Okla. This marks the program’s second expansion, following the pilot that began with five oncology groups and a second pilot established at MD Anderson in December 2014.

GREENWOOD VILLAGE — Rocky Mountain Cancer Centers has joined UnitedHealthcare’s cancer-care payment program that focuses on better health outcomes and lower bills for patients.

The program pays participating oncologists more if they demonstrate superior clinical results and reduce the total cost of care.

UnitedHealthcare first implemented the program with a pilot study between 2009 and 2012 that produced a reduction in hospitalizations and a 34 percent reduction in total costs while improving quality. Click here to read results of the study.

Greenwood Village-based Rocky Mountain Cancer Centers has 50 physicians treating patients in 21 cities across…

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