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Chemo Patient in Chair with Nurse, Cost of Cancer Care Hospital vs Independent Doctors OHC

Cost of Cancer Care Significantly Different from Hospital-Employed Doctors vs Independent Practice Doctors

Summary by E. Randolph Broun, MD, President & Chairman of the Board, OHC; Original article by Megan Garlapow, PhD, ObR November 2017, Blogs, 0 comments
November 20, 2017

E Randolph Broun MD OHC

E. Randolph Broun, MD
President & Chairman of the Board, OHC

Cost of Cancer Care Study Results Sidebar OHCThe cost for cancer care is estimated to reach $170 billion by the year 2020. A significant reason for the increase has been associated with one simple aspect of care: a change in location.

Instead of getting care from “community-based” or independent cancer doctors like OHC, many patients are getting care from doctors who are employed by hospitals, and seeing the costs rise.

Researchers at Xcenda, a global consultancy group, conducted a study to evaluate differences in total cost, emergency department (ED), and inpatient care for cancer patients diagnosed with 1 of 3 common tumor types.

Study Results

In this analysis of patients treated by community-based/independent cancer doctors vs hospital-employed doctors:

  • Chemotherapy was 71% more expensive
  • Visits with clinicians were 333% more expensive
  • Visits to emergency departments were higher in those treated in by hospital-employed doctors vs patients treated in by community-based, independent doctors

Drivers of the Cost Differential

In the study, chemotherapy and doctors’ visits were shown to be the largest drivers in the difference in cost. In the hospital-employed doctors’ setting (also called Outpatient Hospital-Based Practice), chemotherapy was 71% higher or $8,443 per month vs community-based, independent cancer doctors’ offices (also called Community Practice Costs) of $4,933 per month (Table 1).


This is obviously not good for patient care, for patient access to care, or for diversity. We need to take this to our representatives in congress so that changes can be made at a central level,” said Lucio Gordan, MD, Medical Director in the Division of Quality and Informatics at Florida Cancer Specialists and Research. “Obviously, hospitals have a very important and excellent role in care of patients, but it is certainly severely complicated when we are increasing the cost of care severely in oncology and other specialties. Something has to change, and it will take a large, concerted effort that includes legislative changes.”

Read the complete article here.


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