Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Care Quality in Veterans Dying of Cancer Studied

Health Aff; 2018 Jan; Gidwani-Marszowski, et al

Veterans dying of cancer who were treated under Medicare fee-for-service were more likely to receive high-intensity care than those treated under VA direct care, according to a recent analysis.Investigators evaluated veterans treated under the 2 systems between 2010 and 2014. Among the results:

  • Medicare-treated veterans were more likely to receive chemotherapy, and experience hospital stays, ICU admission, more days in the hospital, and in-hospital death.
  • They were significantly less likely than to have multiple emergency department visits.

The authors noted that higher-intensity end-of-life care in Medicare-treated veterans may be due to Medicare fee-for-service financial incentives that do not exist in the VA's integrated system. They suggested that this could be minimized through the development of coordination and quality monitoring programs.

Citation:

Gidwani-Marszowski R, Needleman J, Mor V, et al. Quality of end-of-life care is higher in the VA compared to care paid for by traditional Medicare. Health Aff. 2018 Jan;37(1):95-103. doi:10.1377/hlthaff.2017.0883.

This Week's Must Reads

New MOC pathway developed by ABIM, ASCO, Alternative to focus on oncology expertise

Survey indicates opioid prescriptions have decreased , Physicians' progress to reverse the nation's opioid epidemic. American Medical Association.

Oncologists sue over Medicare drug pay cut, Community Oncology Alliance v. Office of Management and Budget et al. ​

Gender disparity found in oncology research funding, Zhou CD et al. BMJ Open. 2018 Apr 30. doi: 10.1136/bmjopen-2017-018625

Trump administration rejects ACA lawsuit, Texas v. The United States centers on the individual mandate

Must Reads in Practice Management

New MOC pathway developed by ABIM, ASCO, Alternative to focus on oncology expertise

Survey indicates opioid prescriptions have decreased , Physicians' progress to reverse the nation's opioid epidemic. American Medical Association.

Oncologists sue over Medicare drug pay cut, Community Oncology Alliance v. Office of Management and Budget et al. ​

Gender disparity found in oncology research funding, Zhou CD et al. BMJ Open. 2018 Apr 30. doi: 10.1136/bmjopen-2017-018625

Trump administration rejects ACA lawsuit, Texas v. The United States centers on the individual mandate