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Value-Based Care in Hematopoietic Cell Transplantation and Cellular Therapy: Challenges and Opportunities

  • Health Economics (N Khera, Section Editor)
  • Published:
Current Hematologic Malignancy Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Improved tolerability and outcomes after hematopoietic cell transplantation (HCT), along with the availability of alternative donors, have expanded its use. With this growth, and the development of additional cellular therapies, we also aim to increase effectiveness, efficiency, and the quality of the care provided. Fundamentally, the goal of value-based care is to have better health outcomes with streamlined processes, improved patient experience, and lower costs for both the patients and the health care system. HCT and cellular therapy treatments are multiphase treatments which allow for interventions at each juncture.

Recent Findings

We present a summary of the current literature with focus on program structure and overall system capacity, coordination of therapy across providers, standardization across institutions, diversity and disparities in care, patient quality of life, and cost implications.

Summary

Each of these topics provides challenges and opportunities to improve value-based care for HCT and cellular therapy patients.

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Authors and Affiliations

  1. Adult Bone Marrow Transplant Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 298, New York, NY, 10065, USA

    Gunjan L. Shah & Sergio Giralt

  2. Blood and Marrow Transplant Program, Cleveland Clinic, Cleveland, OH, USA

    Navneet Majhail

  3. Division of Hematology/Oncology, Mayo Clinic, Phoenix, AZ, USA

    Nandita Khera

Authors
  1. Gunjan L. Shah
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  2. Navneet Majhail
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  3. Nandita Khera
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  4. Sergio Giralt
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Correspondence to Gunjan L. Shah.

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Conflict of Interest

Gunjan L. Shah, Nandita Khera, and Sergio Giralt declare no conflict of interest. Navneet Majhail is a consultant for Anthem, Inc.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Health Economics

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Shah, G.L., Majhail, N., Khera, N. et al. Value-Based Care in Hematopoietic Cell Transplantation and Cellular Therapy: Challenges and Opportunities. Curr Hematol Malig Rep 13, 125–134 (2018). https://doi.org/10.1007/s11899-018-0444-z

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