Evidence map›Paper›PMID 31393806›Full record

ArticleJournal of oncology practice2019

Characteristics of Physicians Participating in Medicare's Oncology Care Model Bundled Payment Program.

Ravi B Parikh, Justin E Bekelman, Qian Huang, Joseph R Martinez, Ezekiel J Emanuel, Amol S Navathe

Abstract read
In one paragraph

Article in Journal of oncology practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ravi B ParikhUniversity of Pennsylvania, Philadelphia, PA.
Justin E BekelmanUniversity of Pennsylvania, Philadelphia, PA.
Qian HuangDepartment of Medical Ethics and Health Policy and the Leonard Davis Institute of Health Economics, Philadelphia, PA.
Joseph R MartinezDepartment of Medical Ethics and Health Policy and the Leonard Davis Institute of Health Economics, Philadelphia, PA.
Ezekiel J EmanuelDepartment of Medical Ethics and Health Policy and the Leonard Davis Institute of Health Economics, Philadelphia, PA.
Amol S NavatheDepartment of Medical Ethics and Health Policy and the Leonard Davis Institute of Health Economics, Philadelphia, PA.

Funding

CANCER RESEARCH TRAINING PROGRAMT32CA009615 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Gregory L Beatty, MICHAEL D HOGARTY · 1988 to 2026
$10.4M
NCI NIH HHS T32 CA009615
6 · The paper itself

Abstract

purposeThe Oncology Care Model (OCM) is Medicare's first bundled payment program for patients with cancer. We examined baseline characteristics of OCM physician participants and markets with high OCM physician participation to inform generalizability and complement the ongoing practice-level evaluation of the OCM.

methodsIn this cross-sectional study, we identified characteristics of US medical oncologists practicing in 2016, using a national telephone-verified physician database. We linked these data with Dartmouth Atlas and Medicare claims data from 2011 through 2016 to identify characteristics of markets with high OCM participation. We used logistic regression to examine relationships between market characteristics and OCM participation.

resultsOf 10,428 US medical oncologists, 2,605 (24.9%) were listed in an OCM practice. There were no differences in sex or medical training between OCM participants and nonparticipants, although OCM participants were slightly younger. OCM participants practiced in larger (median daily patient volume, 80

conclusionIn the first description of oncologists participating in the OCM, we found differences in practice demographics, care intensity, and exposure to nontraditional payment models between OCM-participating and nonparticipating physicians. Such provider-level differences may not be captured in Medicare's practice-level analysis.

Indexed as

Medical OncologyMedicareModels, TheoreticalPatient Care BundlesPhysiciansPractice Patterns, Physicians'Geography, MedicalHumansUnited States

Identifiers

PMID31393806
PMCPMC7846066

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.