title: Case study: Transforming cancer care at a community oncology practice.
abstract: To assist practices and institutions throughout the country in implementing clinical redesign supported by - and aligned with - payment reform, we present a case study of the New Mexico Cancer Center (NMCC) based on numerous stakeholder interviews, literature reviews, and a comprehensive site visit. This study explores the complex barriers oncologists face in improving the quality and outcomes of cancer care and reducing overall costs in a sustainable way. This case will explore the following questions: How did the NMCC redesign care to improve quality, enhance patient experience and results, and reduce costs? How can an organization demonstrate they are improving quality to enable new payment contracts that enable sustainability? Are alternative payment models sustainable for an independent, community oncology practice?
authors.affiliation: The Brookings Institution, 1775 Massachusetts Ave NW, Washington, DC 20036, United States. Electronic address: dsanghavi@brookings.edu.
authors.forename: Darshak
authors.initials: D
authors.lastname: Sanghavi
authors.affiliation: The Brookings Institution, 1775 Massachusetts Ave NW, Washington, DC 20036, United States.
authors.forename: Kate
authors.initials: K
authors.lastname: Samuels
authors.affiliation: The Brookings Institution, 1775 Massachusetts Ave NW, Washington, DC 20036, United States.
authors.forename: Meaghan
authors.initials: M
authors.lastname: George
authors.affiliation: The Brookings Institution, 1775 Massachusetts Ave NW, Washington, DC 20036, United States.
authors.forename: Kavita
authors.initials: K
authors.lastname: Patel
authors.affiliation: The Brookings Institution, 1775 Massachusetts Ave NW, Washington, DC 20036, United States.
authors.forename: Sarah
authors.initials: S
authors.lastname: Bleiberg
authors.affiliation: The Brookings Institution, 1775 Massachusetts Ave NW, Washington, DC 20036, United States.
authors.forename: Frank
authors.initials: F
authors.lastname: McStay
authors.affiliation: The Brookings Institution, 1775 Massachusetts Ave NW, Washington, DC 20036, United States.
authors.forename: Andrea
authors.initials: A
authors.lastname: Thoumi
authors.affiliation: The Brookings Institution, 1775 Massachusetts Ave NW, Washington, DC 20036, United States.
authors.forename: Mark
authors.initials: M
authors.lastname: McClellan
mesh_terms: D003695:Delivery of Health Care; D018166:Health Care Reform; D006801:Humans; D008495:Medical Oncology; D009516:New Mexico; D018802:Patient-Centered Care; D011785:Quality Assurance, Health Care; D014481:United States
keywords: Affordable Care Act; Alternative payment; Delivery reform; Models; Oncology; Patient centered care; Payment reform