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Call to Action: Community Oncologists Propose 'Roadmap' to Reformed Payment System for Cancer Care; Quality Cancer Care Demonstration Project Will Create System, Enhancing Quality Cancer Care While Controlling Costs
Date:5/26/2009

te or no insurance, including seniors unable to pay the Medicare 20% coinsurance, are foregoing cancer treatment. Oncologists are spending an inordinate amount of time dealing with patient financial issues, including trying to find ways of navigating the insurance maze and identifying drug and co-payment assistance for patients in need.

Quality Cancer Care Demonstration (QCCD) Project

Over eight months ago, COA convened a task force of community oncologists and medical policy experts to evaluate the crisis of community oncology and public and private payment systems. The months of evaluation, analysis and brainstorming resulted in the QCCD project, a two-phased Medicare demonstration project that will allow Congress to direct the Centers for Medicare & Medicaid Services (CMS) to implement the program. The project is designed to refine quality metrics and aligns incentives in the critical areas of cancer treatment planning and end-of-life care.

In two phases, the QCCD project first involves testing the metrics and reporting systems, and then involves the implementation of a performance program. The objective is to collect data to refine quality metrics and the reimbursement structure into a system that enhances quality cancer care while controlling costs.

COA has constructed a program that the Centers for Medicare & Medicaid Services (CMS) can implement through the current coding and data collection systems. COA will augment the collected data from practices that have deployed advanced electronic medical record systems. Additionally, COA will propose the QCCD to private payers in an attempt to launch a national initiative designed to enhance the delivery of quality, affordable, and accessible cancer care to all Americans.

"We must move forward aggressively to put the Quality Cancer Care Demonstration project into place, as an integral part of compr
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SOURCE Community Oncology Alliance
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