Open AccessApplying a value-based care framework to post-mastectomy reconstruction
Author(s) -
Clifford C Sheckter,
Evan Matros,
Gordon K. Lee,
Jesse C. Selber,
Anaeze C. Offodile
Publication year - 2019
Publication title -
breast cancer research and treatment
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.908
H-Index - 154
eISSN - 1573-7217
pISSN - 0167-6806
DOI - 10.1007/s10549-019-05212-0
Subject(s) - reimbursement , breast reconstruction , health care , medicine , specialty , breast cancer , family medicine , cancer , economics , economic growth
Reconstructive breast surgeons, like all procedural care providers, face a transition from volume reimbursement (i.e., per unit of service) to value-based care. Value can be defined as the relationship between outcomes and costs, or more specifically healthcare outcomes per unit cost. Although the definition of a meaningful outcome for a particular treatment can vary, some weighted average of survival, function, complications, process measures, and patient-reported outcomes (PROs) comprise the numerator, while the total cost of a complete care cycle is the denominator. We aim to construct a value-based care framework for reconstructive surgery using post-mastectomy reconstruction as an organizing element.