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Integrated Cancer Solutions
                                               Value-based Oncology Care
       Managing cancer quality and costs is critical, but traditional pricing controls, disease management, and
       utilization policy often place payers and providers at odds with one another. Effective cancer care requires
       an advanced approach that integrates services and aligns incentives for consistent care delivery across
       the cancer continuum.
       Innovent Oncology has developed the only comprehensive program to address the primary cancer cost
       drivers of wide variation in treatment selection, side effects that prompt emergency room visits and
       hospitalizations, and treatment at the end of life.

Managing Key Cost Drivers
            Cost Driver #1                                 Cost Driver #2                                Cost Driver #3
   Variable Use of Drugs and Diagnostics         Deterioration of Patient Health Status           Ineffective Interventions Near the
             During Treatment                            Between Treatments                                   End of Life

            Level I Pathways                          Patient Support Services                       Advance Care Planning
            Expected Results                              Expected Results                              Expected Results
 • Reduced variability in treatment patterns   • Reduced hospitalizations                    • Reduced costs of treatment near the
                                                                                               end of life
 • Reduced costs of drugs, radiation and       • Reduced ER visits and unplanned
   diagnostic imaging                            office visits                               • Increased hospice utilization
 • Reduced medication errors                   • Increased adherence to treatment plan       • Improved symptom management
 • Improved clinic efficiency                  • Improved patient self-management            • Documentation of patient’s values and
                                                                                               goals of treatment
 • Increased patient/ caregiver satisfaction   • Increased patient/ caregiver satisfaction
                                                                                             • Increased patient/ caregiver satisfaction

      Quality Reporting/Outcomes                    Quality Reporting/Outcomes                    Quality Reporting/Outcomes


Innovent Oncology begins with Level I Pathways, evidence-based guidelines that limit the wide variances driving
tremendous cost disparities in oncology today. Clear, credible clinical standards—developed by practicing community
oncologists—are the foundation for treatment selection and quality patient care. Reportable treatment comparisons
identify provider compliance and facilitate performance-based reimbursement.
Through Patient Support Services, Innovent Oncology enables oncologists to deliver proactive disease management
services to members between office visits. This increases member adherence to their treatment plan and reduces
unplanned visits to their oncologist, emergency room utilization and hospitalizations.
Advance Care Planning helps the oncology care team prepare patients for disease progression and document patient
treatment preferences, including palliative care and hospice. This proactive approach eases patient distress, increases
their satisfaction with care and ensures more appropriate services utilization.

The end results?
   • Patient, payer and provider connectivity
   • More consistent care
   • Predictable costs
   • A better experience for all




                                                                             Integrated Cancer Solutions
Integrated Cancer Solutions




                                                  Patient Support                                   Advance Care
   Level I Pathways:                              Services:                                         Planning:
   The Next Step in                               Oncologist-directed                               Beyond Costs, Peace of Mind
   Evidence-based Medicine                        Disease Management                                for Everyone

   Level I Pathways from Innovent                 The inability to manage cancer’s                   Trained to help patients fight their
   Oncology are the next step in                  clinical complexities and emotional                disease, oncologists are routinely
   managing quality and cost. Moving              issues can result in unnecessary                   confronted by the end-of-life issues
   beyond broad label listings and                patient and family distress from                   of patients and their loved ones. It’s
   public domain guidelines, Level I              unplanned office visits, trips to the              one of the most difficult things for
   Pathways first narrow the options              emergency room, or worse, a                        everyone involved.
   to those with proven clinical                  hospitalization. These events are
                                                                                                     Innovent Oncology Advance Care
   effectiveness and the least possible           hard on patients and costly to our
                                                                                                     Planning is designed to facilitate
   toxicity. If there are comparably              healthcare system.
                                                                                                     timely, sensitive discussions with
   effective drugs, then toxicity and
                                                  With Innovent Oncology Patient                     patients and loved ones as they
   cost are factored into the pathway.
                                                  Support Services, the full promise                 confront transition to palliative care.
   It’s that simple.                              of disease management is realized                  The same care team that guides
                                                  through a direct connection to the                 patients through active/curative
      Level I Pathways                            oncologist's plan of care. Patient                 treatment reviews care options,
   • Physician-led, expert                        Support Services are initiated by                  Advance Directives, palliative care
     development                                  and integrated with the oncology                   and hospice. These discussions
                                                  care team so that patients receive                 empower patients and their
   • Broad, deep and ongoing                      clear information, focused education               caregivers, increase their satisfaction
     evidence review                              specific to their disease and                      with care and give everyone peace
   • Narrow subset of currently                   regular support from experienced                   of mind.
     accepted guidelines                          oncology nurses using standardized
                                                  education materials.                                   Advance Care Planning
   • Incorporates cancer staging,                                                                    • Early introduction and review of
     current patient status and line                  Patient Support Services
                                                                                                       end of life (EOL) concepts
     of therapy                                    • Oncologist-directed and                           including Advance Directives,
   • Effectiveness and toxicity first,               integrated with care plan                         palliative care and hospice
     cost second                                  • Focused education and                            • Involve physician and qualified
                                                    intervention by cancer specialist                  non-physician professionals
                                                  • Practice-based and call                          • Clarify intent and document
                                                    center-supported                                   patient wishes
                                                  • Drug specific information, side                  • Implement Advance Care Plan
                                                    effect profile and plan
                                                  • Nutrition education




               For more information about the
Integrated Cancer Solutions available from Innovent Oncology:
                    Call: (866) 214-2194
Email: innovent@usoncology.com • www.innoventoncology.com


                                                                            Integrated Cancer Solutions
                                                                                          IO.0006.1108 • Copyright © 2008 US Oncology, Inc. All rights reserved

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Integrated Cancer Solutions - Cancer Care Pathways

  • 1. Integrated Cancer Solutions Value-based Oncology Care Managing cancer quality and costs is critical, but traditional pricing controls, disease management, and utilization policy often place payers and providers at odds with one another. Effective cancer care requires an advanced approach that integrates services and aligns incentives for consistent care delivery across the cancer continuum. Innovent Oncology has developed the only comprehensive program to address the primary cancer cost drivers of wide variation in treatment selection, side effects that prompt emergency room visits and hospitalizations, and treatment at the end of life. Managing Key Cost Drivers Cost Driver #1 Cost Driver #2 Cost Driver #3 Variable Use of Drugs and Diagnostics Deterioration of Patient Health Status Ineffective Interventions Near the During Treatment Between Treatments End of Life Level I Pathways Patient Support Services Advance Care Planning Expected Results Expected Results Expected Results • Reduced variability in treatment patterns • Reduced hospitalizations • Reduced costs of treatment near the end of life • Reduced costs of drugs, radiation and • Reduced ER visits and unplanned diagnostic imaging office visits • Increased hospice utilization • Reduced medication errors • Increased adherence to treatment plan • Improved symptom management • Improved clinic efficiency • Improved patient self-management • Documentation of patient’s values and goals of treatment • Increased patient/ caregiver satisfaction • Increased patient/ caregiver satisfaction • Increased patient/ caregiver satisfaction Quality Reporting/Outcomes Quality Reporting/Outcomes Quality Reporting/Outcomes Innovent Oncology begins with Level I Pathways, evidence-based guidelines that limit the wide variances driving tremendous cost disparities in oncology today. Clear, credible clinical standards—developed by practicing community oncologists—are the foundation for treatment selection and quality patient care. Reportable treatment comparisons identify provider compliance and facilitate performance-based reimbursement. Through Patient Support Services, Innovent Oncology enables oncologists to deliver proactive disease management services to members between office visits. This increases member adherence to their treatment plan and reduces unplanned visits to their oncologist, emergency room utilization and hospitalizations. Advance Care Planning helps the oncology care team prepare patients for disease progression and document patient treatment preferences, including palliative care and hospice. This proactive approach eases patient distress, increases their satisfaction with care and ensures more appropriate services utilization. The end results? • Patient, payer and provider connectivity • More consistent care • Predictable costs • A better experience for all Integrated Cancer Solutions
  • 2. Integrated Cancer Solutions Patient Support Advance Care Level I Pathways: Services: Planning: The Next Step in Oncologist-directed Beyond Costs, Peace of Mind Evidence-based Medicine Disease Management for Everyone Level I Pathways from Innovent The inability to manage cancer’s Trained to help patients fight their Oncology are the next step in clinical complexities and emotional disease, oncologists are routinely managing quality and cost. Moving issues can result in unnecessary confronted by the end-of-life issues beyond broad label listings and patient and family distress from of patients and their loved ones. It’s public domain guidelines, Level I unplanned office visits, trips to the one of the most difficult things for Pathways first narrow the options emergency room, or worse, a everyone involved. to those with proven clinical hospitalization. These events are Innovent Oncology Advance Care effectiveness and the least possible hard on patients and costly to our Planning is designed to facilitate toxicity. If there are comparably healthcare system. timely, sensitive discussions with effective drugs, then toxicity and With Innovent Oncology Patient patients and loved ones as they cost are factored into the pathway. Support Services, the full promise confront transition to palliative care. It’s that simple. of disease management is realized The same care team that guides through a direct connection to the patients through active/curative Level I Pathways oncologist's plan of care. Patient treatment reviews care options, • Physician-led, expert Support Services are initiated by Advance Directives, palliative care development and integrated with the oncology and hospice. These discussions care team so that patients receive empower patients and their • Broad, deep and ongoing clear information, focused education caregivers, increase their satisfaction evidence review specific to their disease and with care and give everyone peace • Narrow subset of currently regular support from experienced of mind. accepted guidelines oncology nurses using standardized education materials. Advance Care Planning • Incorporates cancer staging, • Early introduction and review of current patient status and line Patient Support Services end of life (EOL) concepts of therapy • Oncologist-directed and including Advance Directives, • Effectiveness and toxicity first, integrated with care plan palliative care and hospice cost second • Focused education and • Involve physician and qualified intervention by cancer specialist non-physician professionals • Practice-based and call • Clarify intent and document center-supported patient wishes • Drug specific information, side • Implement Advance Care Plan effect profile and plan • Nutrition education For more information about the Integrated Cancer Solutions available from Innovent Oncology: Call: (866) 214-2194 Email: innovent@usoncology.com • www.innoventoncology.com Integrated Cancer Solutions IO.0006.1108 • Copyright © 2008 US Oncology, Inc. All rights reserved