While experts are proposing the expansion of the patient-centered medical home (PCMH) concept to specialized populations with complex needs, such models already exist in many hematopoietic cellular transplant (HCT) centers, according to a recent review. Most HCT providers have already developed the structures that address critical requirements for medical homes; they deliver multidisciplinary, coordinated, and highly specialized care.
The integration of care delivery in HCT centers has been driven by the specialty care their patients require and by the payment methodology preferred by the commercial payers, which has included bundling of both inpatient and outpatient care in the peri-transplant interval. Commercial payers identify qualified HCT centers based on accreditation status and comparative performance, enabled in part by center-level comparative performance data available within a national outcomes database mandated by the Stem Cell Therapeutic and Research Act of 2005.
Gajewski J, McClellan M, Majhail N, et al. Payment and care for hematopoietic cellular transplant patients: Toward a specialized medical home for complex care patients. [Published online ahead of print September 26, 2017]. Biol Blood Marrow Transplant. doi:10.1016/j.bbmt.2017.09.012.
This Week's Must Reads
Six factors predict urothelial cancer response, Pond GR et al. GU Cancers Symposium Abstract 413
Combo bests single therapy in metastatic RCC, Motzer RJ et al. GU Cancers Symposium Abstract 578
Chemo is best course in resected urothelial disease, Birtle A et al. Genitourinary Cancers Symposium. Abstract 407.
Selecting chemoradiation in bladder cancer, Coen, J. et al, 2018 Genitourinary Cancers Symposium, Abstract 408.
When to choose surgery or surveillance in RCC, Hakimi A et al. J Urol. 2018 Feb 26 doi: 10.1016/j.juro.2018.02.3087.
Must Reads in Practice Management
Oncologists can learn a lot from Twitter about lung cancer patients, Sutton J. et al., J Am Coll Radiol. 2018 Jan. doi: 10.1016/j.jacr.2017.09.043.
Financial transparency by oncology clinical pathway vendors, Daly, B et al. JAMA Oncol. 2018;4(2):255-257 doi:10.1001/jamaoncol.2017.4473
Support for gender equity led to more women in academic roles, Devine et al. J Exp Soc Psychol. [in press]
Insurance against cyberhacks of medical records, Beazley breach insights - January 2018
In-office chemo costs less, Winn A et al., JAMA Oncol. 2018 Feb 22. doi: 10.1001/jamaoncol.2017.5544.