An opportunity for coordinated cancer care: intersection of health care reform, primary care providers, and cancer patients.
The US health care system has become increasingly unsustainable, threatened by poor quality and spiraling costs. Many Americans are not receiving recommended preventive care, including cancer screening tests. Passage of the Affordable Care Act in March 2010 has the potential to reverse this course by increasing access to primary care providers, extending coverage and affordability of health insurance, and instituting proven quality measures. In order for health care reform to succeed, it will require a stronger primary care workforce, a new emphasis on patient-centered care, and payment incentives that reward quality over quantity. Innovations such as patient-centered medical homes, accountable care organizations, and improved quality reporting methods are central features of a redesigned health care delivery system and will ultimately change the face of cancer care in the United States.
Division of Geriatric Medicine, Department of Family and Community Medicine, Jefferson Medical College/Thomas Jefferson University, Philadelphia, PA 19107, USA. Lauren.Collins@jefferson.edu
Lauren G
LG
Collins
Richard
R
Wender
Marc
M
Altshuler
D003695:Delivery of Health Care / Q000191:economics; D018166:Health Care Reform / Q000191:economics / Q000379:methods*; D006801:Humans; D009369:Neoplasms / Q000191:economics / Q000628:therapy*; D058991:Patient Protection and Affordable Care Act; D018802:Patient-Centered Care / Q000191:economics / Q000379:methods*; D011320:Primary Health Care / Q000191:economics / Q000379:methods*; D014481:United States